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Bleeding after menopause: Get it checked out

January 18, 2019

About the Author

photo of Kelly Bilodeau

Kelly Bilodeau, Former Executive Editor, Harvard Women's Health Watch

Kelly Bilodeau is the former executive editor of Harvard Women’s Health Watch. She began her career as a newspaper reporter and later went on to become a managing editor at HCPro, a Boston-area healthcare publishing company, … See Full Bio
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March 12, 2019

I have a second bleeding episode within a month after 8 years of menopause. I will have an ultrasound this Friday and than I will see my doctor for there result on April 1st. I am very worried and try to stay calm.

Leslie Kuenne
January 29, 2019

I had post menopausal bleeding and pelvic pain and had a D and C and it ruled out endomterital cancer. Two months later I was diagnosed with stage 3c ovarian cancer after going to many doctors and being very persistent! Post menopausal bleeding can also be a sign of ovarian cancer. Make sure your doctor tries to rule that out as well! I was worried about endometrial cancer but ovarian cancer never entered my head as a worry and should have! I would have gone right away to a Gyn Oncologist and not just my regular Gyn.

January 29, 2019

I had bleeding at age 68, more than 15 years after surgical menopause. My OB_GYN did a test and scheduled surgery within 2 weeks. The diagnosis was endometrial cancer stage 1. This was 8 years ago. Recommendation – get it checked.

January 28, 2019

I recently noticed spotting after 15 years of being post menopausal and didn’t think it was anything to be concerned about but went in anyway since I hadn’t been checked out in awhile. My ultrasound showed increased thickness in my uterine lining so I then had a uterine biopsy which found precanercous cells and possible uterine cancer. So I had a hysterectomy a few weeks later. My post surgical biopsy of my uterous found mostly precancerous cells but one spot of early cancer. I am so glad this was caught so early. If you have any spotting after menopause do go in and get it checked out!!! I am very grateful I did!

Christine Warren
January 28, 2019

I had post menopausal serous vaginal leakage growing progressively worse. It was sometimes tinged with pink blood. It almost cost me my life having my doctor underreact to this. My ultrasound did not show much since i had calcified fibroids. At my insistance something wrong MRI was done showing tumor. Dr. scheduled office biopsy despite knowing he could not get in my cervix for pap smears. Finally surgical biopsy showed cancer after 4 months of followup. My hysterectomy showed stage 3C papillary serous adenocarcinoma, a very poor prognosis of metastasized type 2 cancer after 5 months. I have neuropathy and lymphadema and life is not the same.

January 28, 2019

I had spotting more than ten years after menopause. I made an appointment with my doctor who performed an examination. My uterus was within normal size limits so the doc said not to worry. The spotting stopped on its own, and I have had no further issues. It is now over fifteen years after I had the spotting.

January 28, 2019

What is missing from this article, in my opinion, is the increased chance of endometrial cancer and uterine cancer after being on tamoxifen for breast cancer treatment.

This is kind of a big omission, in my opinion, given the highly increased chance of these cancers when treated with tamoxifen, and the first sign is generally heavy bleeding, before or after menopause. “Hemorrhagic” bleeding, 4 DNCs, an IUD, etc, and finally a hysterectomy.

Lucy Stimmel
January 28, 2019

Thank you all for this information. My mother never told anyone her diagnosis, but given this information, I can be sure this is what killed her. Thank you.

January 20, 2019

I experienced post-menopausal bleeding after 4 yrs. of menopause. My bleeding was not caused by cancer, it was caused by adenomyosis. I also had a enlarged uterus, endometriosis on one Fallopian tube, and new cells were growing in my uterus. After having a D&C, 2 IUD’s (the 1st IUD fell out), and taking norithindrone nothing stopped the bleeding. When I was off the norithindrone for 3 days for gallbladder surgery, the bleeding was again extremely heavy. After 1 1/2 yrs. of bleeding, we decided a hysterectomy would be in my best interest. After my hysterectomy my doctor said, in 35 yrs. of practice, he had never seen a uterus look like mine did, as it was not smooth, and ended up being a teaching moment for those involved with my surgery. I’m glad we made the decision to have a hysterectomy, who knows how long I would continue to bleed.

January 19, 2019

Cervical cancer (which may also be identified early due to post-menopausal spotting or bleeding) may be linked to use of biologics. Although few MDs seems to think it’s worth tracking to determine the strength of the link, so that it becomes more possible to get research funding for a study.

January 19, 2019

Postmenopausal Bleeding can be really scary. If you have any bleeding — even if it’s only spotting — you should see a doctor. She’ll want to rule out serious causes, like cancer.
Thank you for the insights Kelly

Mitzi Reid
January 19, 2019

How does she know that she is post menopausal?
One year without a period .

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