It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Menopause Message Board

  • Post Menopausal Bleeding and HRT

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 10-26-2017, 05:56 PM   #1
    Julie1447
    Newbie
    (female)
     
    Julie1447's Avatar
     
    Join Date: Oct 2017
    Posts: 3
    Julie1447 HB User
    Post Menopausal Bleeding and HRT

    I was on birth control for years, having regular periods. At age 50, doc took me off, told me to wait 30 days then go have my hormone levels checked. During that 30 days, I began experiencing night sweats and other menopausal symptoms so I was not surprised when my blood results showed that I was for sure in the throws of menopause. My doctor put me on Activella which is an HRT. I wasn't crazy about taking it but it did relieve the night sweats. Also, he wanted me on it for osteopenia. So, I've been on it 5 months and have had spotting and twice a full bleed like a period although not as heavy. So, I tell him this at my regular check up and he says I should not be having post menopausal bleeding this long after starting the HRT. I mention that is a side effect of the HRT and he says I need to have a vaginal ultrasound to check the lining of my uterus and look for polyps. I had that today and the lining of my uterus is 6 mm and he says that is too much. So the next step is an endometrial biopsy. I feel like he is overreacting. If bleeding is a common side effect of HRT for at least 6 months, sometimes to a year, than are most women having to go through this? I'm scared of the procedure. He says don't worry, it isn't that big of a deal and we need to rule out cancer. Better to be safe than sorry later. I asked him if I could just get off the HRT to see what my body does and he said he didn't think that was the best choice. Does this sound like standard procedure or over caution?

     
    Sponsors Lightbulb
       
    Old 10-26-2017, 07:37 PM   #2
    Titchou
    Senior Veteran
    (female)
     
    Join Date: Apr 2005
    Location: Birmingham, AL
    Posts: 20,367
    Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
    Re: Post Menopausal Bleeding and HRT

    Standard procedure. I never had a bleed of any kind after I went on Activella though my doctor told me I might for the first 3-6 months. But they need to be sure so the procedure makes sense. Also, HRT is basically the same thing as birth control so you should not be worried there. Since I started having bone scans mine has improved from -1.6 to -1.0 and my doctor says it's strictly because of the estrogen. I'm 71 and have been on HRT for 14 - almost 15 - years.

     
    Old 10-27-2017, 04:03 AM   #3
    weathergirls
    Inactive
    (female)
     
    weathergirls's Avatar
     
    Join Date: Jun 2017
    Posts: 75
    weathergirls HB Userweathergirls HB Userweathergirls HB User
    Re: Post Menopausal Bleeding and HRT

    Your doctor checking your lining at 6mm seems extremely cautious. If youíre on any type of estrogen at all, youíre lining is going to be different than a woman in menopause not on HRT. 6 mm lining is pretty minimal. I had mine checked once during perimenopause (around age 49) when it was at 11mm, and still it was fine and it eventually shed.

    I know a lot of women on HRT, many of whom have had spotting and bleeding issues. Itís very common. At 50, you are likely just starting into menopause. Since you have no idea when your ďrealď last period was because of the birth control, you may not be fully in menopause. Itís not uncommon for our own bodies to kick up with hormone surges. Kind of like a last effort to turn the engine over! Iíve known women whoíve gone say 8, or 10 months without a period assuming they were going into menopause and then bam, they got bleeding and had to start the countdown all over again. Blood tests are not fully reliable in determining menopausal status. My sister-in-law is almost your age, sheís 49 1/2, and has been having hot flashes for two years now, and she still not in menopause. She still gets erratic periods once in a while. Honestly, it is really, really hard for you to know where youíre at where youíve been on birth control for so long, and you donít know what your own natural cycle is.

    I do agree that the endometrial biopsy is not a bad procedure - Iíve had two endometrial biopsies. But I donít think that he should be making you nervous and concerned. Let us know how it goes.

    Last edited by weathergirls; 10-27-2017 at 04:31 AM.

     
    Old 10-27-2017, 04:06 AM   #4
    weathergirls
    Inactive
    (female)
     
    weathergirls's Avatar
     
    Join Date: Jun 2017
    Posts: 75
    weathergirls HB Userweathergirls HB Userweathergirls HB User
    Re: Post Menopausal Bleeding and HRT

    I should add if you were deep into menopause....say 10 years with no period, they would want to see your lining under 5 mm or so. That would be 1) provided you were NOT on HRT and 2) because after that many years with no exogenous estrogen, your body should not be developing much of a lining. Try not to worry. I hope it all goes well and good luck!

    Last edited by weathergirls; 10-27-2017 at 04:16 AM.

     
    Old 11-12-2017, 02:55 PM   #5
    Julie1447
    Newbie
    (female)
     
    Julie1447's Avatar
     
    Join Date: Oct 2017
    Posts: 3
    Julie1447 HB User
    Re: Post Menopausal Bleeding and HRT

    Thanks everyone for your reply. Having the endometrial biopsy tomorrow. I'm no longer worried about the results of the biopsy because I do think my doctor is just being over cautious. I'm just worried about the procedure itself and if it will hurt. He told me to take a couple ibuprofen before my appointment and that it is quick as a pap smear with a little cramping. I can probably deal with that I'm just kind of a worry wart and would rather not deal with it at all.

     
    Old 11-29-2017, 07:47 AM   #6
    STLouisgal
    Senior Veteran
    (female)
     
    Join Date: Dec 2008
    Location: St. Louis, MO, USA
    Posts: 1,879
    STLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB UserSTLouisgal HB User
    Re: Post Menopausal Bleeding and HRT

    I agree that your doctor seems overly cautious. Did you get the results of the biopsy? I hope it wasn't too painful / uncomfortable and all proved fine!

     
    Old 11-29-2017, 07:52 AM   #7
    Julie1447
    Newbie
    (female)
     
    Julie1447's Avatar
     
    Join Date: Oct 2017
    Posts: 3
    Julie1447 HB User
    Re: Post Menopausal Bleeding and HRT

    Yes, biopsy results were fine. It was uncomfortable, but only for about 10 seconds.

     
    Closed Thread




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 01:14 PM.





    © 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!