Top

20

Doctor insights on: Bleeding After Menopause And Hysterectomy

Granulation tissue: Granulation tissue is scar tissue that has increased blood supply. This can cause vaginal bleeding. Also if you aren't oh hormone therapy, you likely have atrophic vaginitis which can cause bleeding as well. Your doctor can evaluate you and see what the cause is. Read more

Depends: You should only undergo menopause if your doctor takes out your ovaries. If just the uterus is removed you should not undergo menopause. Read more

See your doctor: Bleeding after menopause (defined as 1 year without a period or any bleeding) is always a reason to see your gyno. Your activity is unlikely to be a cause. There are some simple causes, such as a dry vagina and bleeding after sex, and some more worrisome causes that definitely need evaluation and treatment (pre-cancers and cancer). Don't worry, but do make an appointment today. Read more

Yes: An incidental finding of a slightly thickened uterine lining is not a major emergency. It sounds like your doctor has carefully evaluated you and not found a problem. Unless there is more to the story that I don't know, a hysterectomy seems like a bit of an overkill--like cutting a tomato with a chain-saw when a paring knife would do. Best wishes! Read more

Menopause Is Forever: In natural menopause the ovaries are permanently no longer producing both estrogen (estradiol) and progesterone. If your ovaries were removed during your hysterectomy, then you are also permanently in menopause. Every cell in a woman's body has estrogen and Progesterone receptors, not just the reproductive system, so the entire body suffers once in menopause. Cyclic bhrt can help. Read more

Depends: Yes, but only if your ovaries were removed. If your ovaries were not removed then menopause is not immediate. Read more

Not by itself: A hysterectomy, or removal of the uterus, will not cause menopause or other hormone changes. If the ovaries are removed at the same time, then menopause will result. The ovaries are responsible for producing female hormones. Read more

Go back to doctor: Go back asap and make sure there have been no complicaitons. Read more

After hysterectomy: If you had a supracervical hysterectomy it is not unusual to have mild light periods, depending on how much endometrial tissue is left behind. If your uterus and cervix were both removed, than any bleeding needs to be immediately investigated. Please contact your surgeon's office to set up an appointment. Read more

Not a surprise: Most recommendations are to wait 4 weeks before having sex. The top of the vagina would not have been completely healed and the sex would be expected to cause some spotting or bleeding. Your risk for a pelvic infection is quite high as well. Read more

Spotting: You should not have spotting after hysterectomy. You should consult an Ob-Gyn to rule out other causes. Read more

Yes: If the cervix was left in, there can still be a small amount of uterine tissue remaining. Its possible to have some bleeding. If you still have your ovaries, the bleeding can be cyclic just like your period used to be. It can be a bummer if you were expecting to be period-free. Read more

Hysterectomy: Vaginal bleeding after a hysterectomy or menopause needs to be evaluated. It can be due to infections, trauma, or cancer. Get to your GYN asap for treatment and peace of mind. Read more

Treatments vary: Treatments depend on what you are trying to treat? Are you trying to treat postmenopausal symptoms such as hot flashes, etc.? Based on what you wrote in your conditions section, further evaluation is warranted due to presence of pain. Dyspareunia can be treated with topical estrogen. NSAIDs may be used for period pain. Tender cervix should be further evaluated by GYN Read more

A defect, not a tear: The healing of a vaginal cuff after vaginal hysterectomy is not always predictable or may not be complete or smooth for several weeks after surgery. A defect in the vaginal scar may on occasions occur without symptoms but it would be rather unlikely although not impossible that a "cuff tear" would take place without bleeding ". Read more

Menopause: By leaving the ovaries this should not occur Read more

Please call your GY: If u are worried enough to ask that here, u need t call the doc who did the surgery to discuss with that doc, anything more than minor spotting I do not consider normal. Read more

Explore alternatives: The first thing you need to do is to see your gynecologist for an assessment of why you are bleeding. You may have a small polyp in your uterine lining and removing that may be all you need. It may be changes in your hormones and a 2 minute endometrial ablation will fix the prohlem. You may have fibroids. The right choice for you also depends on whether or not you want to have more children. Read more

No: Bleeding is never normal. It might not be serious. Have it check. Read more

Vaginal sloughing?: The vaginas in post menopausal women can lose some ability to stretch as estrogen declines. The vaginal surface then "thins" as the surrounding vaginal musculature contracts around it. I am not sure what you mean by the term "vaginal sloughing" as the vaginal lining does not "slough" off except some brief cell losses with intercourse which regenerate. Read more