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Small amount of bleeding after MENOPAUSE. Is that normal?

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I'm 52yr old female, i haven't had a period for 3years, I thought I was menopause but I've been bleeding a small amount today. Is that normal?


Category: OBGYN

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Category: Infertility Specialist
Dr. Aarti Vazirani is online now

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com
3 years straight with no periods technically falls under the definition of menopause.
So this bleeding counts as post menopausal bleeding, which is definitely not normal.
It warrants investigation.
It could happen due to mild hormonal imbalance , leading to growth of the lining of the uterus.
Again, it can happen due to local deficiency of hormones, making the vaginal mucosa brittle and easily prone to bleeding and spotting.
You need to consult a gynecologist, have an internal exam, a Pap smear , a pelvic transvaginal ultrasound scan and hormonal levels to confirm menopause - FSH, LH, Serum estradiol and TSH.
ALso, please have an endometrial biopsy if the ultrasound scan suggests that the uterine lining is thickened beyond normal.
All the best
Please feel free to discuss further.

Regards.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
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