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  • 52 years old, period this month 2 times

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    Old 01-12-2014, 04:17 AM   #1
    lindac123
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    52 years old, period this month 2 times

    I am 52 . After my tubal at 43, my periods, while regular, would start out with spotting for a couple days, usually 4 or 5, then I would get my full period for about 5-6 more. Have had ultrasounds over the years, including one directly after I finished my period to check out the longer periods, and results were normal, so didn't need a biopsy (lining was very thin and homogeneous). He was looking for signs of a polyp or other irregularity. Each month prior to these last two, I'd have significant breast tenderness and signs of PMS. My periods were always 25-28 days apart and followed the same pattern.

    These past two months have been a bit odd. No breast tenderness in late/Oct/Nov period. but normal type of flow/pattern. 25 days later I spotted and figured I was starting. Spotted very little that day and then nothing for 9 more days. On the 10th day (so that would be the 35th day since my last period, I started my period. No spotting, right into flow. No breast tenderness or PMS symptoms in December either. Stopped my flow after six days - flow was lighter than usual, but consistent. Imagine my surprise when 9 days later I started my period again. I'm on the 3rd day. This is a flow, not spotting.

    So this current period started exactly 14 days after the start of the last one. Dead mid-cycle. After an unusually late cycle (35 days).

    Given my age and the fact that there were none of my normal pre-period flags, I'm assuming this is due to lack of progesterone, i.e. peri-menopause leading to menopause. I have also been under a significant amount of stress these past two month (Nov and Dec) due to the holidays. Enough to cause a couple panic attacks, which I haven't seen in years.

    My plan is to see what happens next month and if this pattern continues, OR the bleeding does not stop, to call my gyn and start the ball rolling for testing. If he suggests a uterine biopsy, I'm not keen on having it done in-office due to the pain factor, and will probably ask to be put under for a D&C/biopsy/scope. My feeling is if it's a polyp, a blind biopsy could miss it anyway. I guess I could get through an in-office biopsy with copious amounts of valium (or a jug of wine :-))

    Anyone else have these issues at my age? Very frustrating!

     
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    Old 01-12-2014, 05:33 AM   #2
    STLouisgal
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    Re: 52 years old, period this month 2 times

    Sorry you are dealing with the erratic cycles of perimenopause (and to some degree tubal ligation). Rest assured that this is not unusual and is probably just hormonal. So it makes sense to see what happens over the next couple of months. I don't know when your last u/s was done that showed a thin lining but the lining can thicken during peri when ovulations are sporadic but our body usually does a good job of thinning it out over time. And if it doesn't, progestins usually do the trick.

    Sure, polyps (and fibroids) can cause irregular bleeding which is a nuisance but not serious unless the bleeding is so heavy and/or prolonged that it causes anemia. It would seem if your lining is not thick then no worries. And if it appears thick, it could be polyps or fibroids making it look thicker than it is.

    I hope things settle down for you soon!

     
    Old 01-12-2014, 06:21 AM   #3
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    Re: 52 years old, period this month 2 times

    Thank you for your fast reply. The timing of everything (14 days/28 days, etc) and the lack of PMS symptoms these past two months suggest hormones, which is why I feel it's ok to wait and watch for a couple months. My last U/S was 2 years ago, so I'm due if the symptoms continue. I'll submit to a pipelle biopsy in-office, but not a hysteroscopy or saline ultrasound due to tied tubes. If they suspect a polyp, go in surgically and look/remove at the same time.

    Given I have a history of PCOS, lack of progesterone is not a rarity for me. Haven't needed treatment since my last child, but I figured the progesterone issues would raise their ugly head. A doc friend of mine told me cancer by nature is erratic and anything presenting on a 'schedule' tends to be hormone-related. Given I've had testing in the past, and keep up with my gyno exams (yearly), I'm not too afraid that something was missed. Two months in this situation is not a 'make or break'.

    I've heard it's not uncommon to get two periods a month as you are winding down.

    Quote:
    Originally Posted by STLouisgal View Post
    Sorry you are dealing with the erratic cycles of perimenopause (and to some degree tubal ligation). Rest assured that this is not unusual and is probably just hormonal. So it makes sense to see what happens over the next couple of months. I don't know when your last u/s was done that showed a thin lining but the lining can thicken during peri when ovulations are sporadic but our body usually does a good job of thinning it out over time. And if it doesn't, progestins usually do the trick.

    Sure, polyps (and fibroids) can cause irregular bleeding which is a nuisance but not serious unless the bleeding is so heavy and/or prolonged that it causes anemia. It would seem if your lining is not thick then no worries. And if it appears thick, it could be polyps or fibroids making it look thicker than it is.

    I hope things settle down for you soon!

     
    Old 01-14-2014, 03:19 PM   #4
    lindac123
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    Re: 52 years old, period this month 2 times

    Wondering now if I didn't have an ovarian cyst. Had really bad back and leg ache just before and for the first two days of the late Dec, early Jan period. I attributed it to the rollaway bed in the hotel (they only had Kings left grrr). I had to actually sit in a hot bath before bed for a couple nights and was woken up with the ache the nights after. Yet, I was able to drive back from Miami (2 day trip) and stay in a lesser quality hotel without any back or leg pain at all.

    The last time that happened was years ago when I had an ovarian cyst that had ruptured - caused similar symptoms and messed up my period. I'm going to see if I get any signs of PMS this month in the next two weeks, and see when I start bleeding again. My guess is I will have another period either 14 days after the start of this last one, or in one month. If by late Feb this hasn't resolved itself (or if I have a different pattern of bleeding and/or pain), I will go get whatever tests needed. A one-off I can attribute to hormones of peri, given I'm 52. An erratic pattern? No.

     
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    Old 01-16-2014, 07:08 AM   #5
    STLouisgal
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    Re: 52 years old, period this month 2 times

    I did not mention ovarian cysts but, yes, your symptoms could have been caused by a cyst. And those are so common but thankfully, usually nothing serious as most resolve on their own.

     
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