“Period after menopause?”

Just because you have had an official diagnosis of ‘menopause’ or 1year without periods, doesn’t mean that you are done bleeding!!! The female pelvis doesn’t always just ‘stop’ because it’s been a 12month or 24month period of time; all women will go through their downward trend of irregular periods and skipped periods, then every woman will ALSO go through something that I call their ‘last hurrah’; when your body kicks in for another 1cycle or even up to a few months of cycles complete with pre-period symptoms of headache, backache, bloating, etc, JUST LIKE your former usual pattern of bleeding used to be. In my practice, I routinely follow my patients every 3-4months with symptom trackers and bloodwork to keep their female hormones of Estradiol and Progesterone (E + P4) in BALANCE and more prevalent than their male hormones of Total and Free Testosterone (T and Free T). This newly menopausal time is quite commonly associated with return of abnormal bleeding; but it is also quite commonly associated with Estradiol dominance which sets you up for an abnormal mammogram and possible breast cancer if your hormone balance is not reset. Checking your hormone levels is not that expensive; there are on-line sites that will offer cash discounts and they send you the test tubes for draw at a lab drawsite or some labs even do blood-spot testing where you prick your finger to fill an absorbent spot on the test paper and send it in for the lab to analyze. However, do NOT do salivary testing as it is not comparable to serum levels and can be misleading. Then to avoid needing to make a doctor’s appointment to interpret your values, get a copy of my book, Full Bloom; Perimenopause, Menopause, Post-Menopause and Beyond for only $19.95 on Amazon and learn how to interpret your results!

Dr. Vicki Mondloch

You need to see a provider as it is important to rule out cancer at your age.

Sincerely,

Dr. Janice Alexander, RN, MD

Yes, you need to be seen. It is always abnormal to have bleeding after menopause. 20% of the time it could be precancerous or cancer. Only a biopsy can tell for sure

Yes, you should have a period in menopause. Requires a work-up to rule out cancer of the uterus.
I hope this helps.

Yes, you must be evaluated! Post-menopausal bleeding is not normal.

Michael Nethers, MD

Any kind of menses like bleeding after menopause should be investigated. You need to see a Gynecologist as soon as possible.