I’m 60 years old and went through menopause years ago. A doctor told me I need to go off of my HRT medication so I tried weaning off of it but had major symptoms. I went back on it and now I’m having vaginal bleeding.
You need to see a gynecologist. This is not uncommon and usually easily resolved, but cannot be ignored. Once resolved, the pluses and minuses of continued treatment with hormones warrants a thorough discussion with your gynecologist.
The standard of care for evaluating bleeding after menopause is to sample the lining of the uterus (with exceptions) and there is no evidence of it causing any spread of cancer.
If an endometrial biopsy only samples 4% of the uterine lining, why would the test even be done???? If you received a positive result for cancerous cells, then yes, you have a definitive duagnosis. But if the results show no cancerous cells, then you could have a false negative result, if the cancer cells werent part of that 4% sample. It appears post menopausal women are in the group of women who find this test excruciatingly painful.....so why put these women through such a painful procedure knowing that you're not getting an adequate sample and potentially providing a false negative result??????
Hello, in my experience of many endometrial biopsies (EMBs), most women do well and have 10 seconds of cramping similar to a period. A few feel virtually nothing, and even fewer say its the worst cramps they've ever had - I forewarn them of this and always abort if it is too uncomfortable (and they can opt to decline). The benefit is that if the biopsy is positive for pre-cancer or cancer, then the treatment is a hysterectomy. This avoids the added risk and expense of two surgeries (a d&c, then a subsequent hysterectomy). They also get the peace of mind of more rapid preliminary information since the EMB gives an immediate preliminary answer (the specimen appearance) and a sooner more final answer (a few days) than the general wait time for the surgery. Of course, the final answer is the hysteroscopy and d&c result.
Would doctors do Hysteroscopy without an anaesthetic? I’m due to go in a few weeks for a small PMB and it’s says Hysteroscopy department. I’m a bit concerned about the procedure incase it’s painful ? Thanks
Hello - sorry for delay - no internet due to storm damage. Office hysteroscopy is often done without the need for an anesthetic. Some patients experience no discomfort at all, some have mild cramps. You are always in control, so if there is too much discomfort (rare), then speak up. I'm sure your provider will be happy to address your concerns before the procedure starts.
Every lab has a different reference range of values. Generally it’s a high FSH in the setting of a low serum estradiol - typical values are FSH around 50 to 80 and estradiols in the teens. I always correlate numbers back to the clinical setting as well.
I cannot give you direct medical advice or opinion on you specific case, but am able to give general educational information. Your specific questions are best directed to your gynecologist.
Bleeding, even a little bit, after menopause is never normal. If a woman is nervous, that may temporarily decrease her immunity and increase her risk of atrophic vaginitis - a simple vaginal infection easily treated. However, if ignored, it may be a sign of a more serious problem so should never be ignored. Again, any women with bleeding after menopause should seek medical attention and not assume its just being "nervous".
I’m 60 years old and went through menopause years ago. A doctor told me I need to go off of my HRT medication so I tried weaning off of it but had major symptoms. I went back on it and now I’m having vaginal bleeding.
You need to see a gynecologist. This is not uncommon and usually easily resolved, but cannot be ignored. Once resolved, the pluses and minuses of continued treatment with hormones warrants a thorough discussion with your gynecologist.
See your doctor!!!
@@hesgreeff I did see him thank you
Did they make you have a biopsy, hysteroscopy and d&c?? 😢@@kimberlyk3928
VERY helpful, Dr. Thank you for making this video.
You're most welcome!
There was one lady who when she was scraped out found out later that caused her cancer to spread.
The standard of care for evaluating bleeding after menopause is to sample the lining of the uterus (with exceptions) and there is no evidence of it causing any spread of cancer.
Hi , Can slight red colour discharge after menopause be considered as bleeding ?
Yes it can, so certainly worth mentioning to your physician.
@@doc2dr2women Thanks
Yeah you might have a polyp 😢. Polyps are not harmful unless you're trying to conceive.
If an endometrial biopsy only samples 4% of the uterine lining, why would the test even be done????
If you received a positive result for cancerous cells, then yes, you have a definitive duagnosis.
But if the results show no cancerous cells, then you could have a false negative result, if the cancer cells werent part of that 4% sample.
It appears post menopausal women are in the group of women who find this test excruciatingly painful.....so why put these women through such a painful procedure knowing that you're not getting an adequate sample and potentially providing a false negative result??????
Hello, in my experience of many endometrial biopsies (EMBs), most women do well and have 10 seconds of cramping similar to a period. A few feel virtually nothing, and even fewer say its the worst cramps they've ever had - I forewarn them of this and always abort if it is too uncomfortable (and they can opt to decline). The benefit is that if the biopsy is positive for pre-cancer or cancer, then the treatment is a hysterectomy. This avoids the added risk and expense of two surgeries (a d&c, then a subsequent hysterectomy). They also get the peace of mind of more rapid preliminary information since the EMB gives an immediate preliminary answer (the specimen appearance) and a sooner more final answer (a few days) than the general wait time for the surgery. Of course, the final answer is the hysteroscopy and d&c result.
Bullshit.
Is endometrial thickness of 5.5 mm a concern if a person is in menopause?
Mine is 5.5 too. Just had a biopsy taken after a heavy bleed 2 years post menopause
@@Anita67x hope all well
@@PolKkhol thanks. You too
Would doctors do Hysteroscopy without an anaesthetic? I’m due to go in a few weeks for a small PMB and it’s says Hysteroscopy department. I’m a bit concerned about the procedure incase it’s painful ? Thanks
Hello - sorry for delay - no internet due to storm damage. Office hysteroscopy is often done without the need for an anesthetic. Some patients experience no discomfort at all, some have mild cramps. You are always in control, so if there is too much discomfort (rare), then speak up. I'm sure your provider will be happy to address your concerns before the procedure starts.
Thank you I appreciate your response
Whats cut off range of FSH to confirm menopause?
Every lab has a different reference range of values. Generally it’s a high FSH in the setting of a low serum estradiol - typical values are FSH around 50 to 80 and estradiols in the teens. I always correlate numbers back to the clinical setting as well.
@@doc2dr2women Thanks for the prompt response. In that case would a FSH of 22 be good enough to confirm menopause?
I cannot give you direct medical advice or opinion on you specific case, but am able to give general educational information. Your specific questions are best directed to your gynecologist.
Doctor can you explain why post menopausal women tend to bleed a little when they are nervous ?
Bleeding, even a little bit, after menopause is never normal. If a woman is nervous, that may temporarily decrease her immunity and increase her risk of atrophic vaginitis - a simple vaginal infection easily treated. However, if ignored, it may be a sign of a more serious problem so should never be ignored. Again, any women with bleeding after menopause should seek medical attention and not assume its just being "nervous".