Postmenopausal Bleeding

Postmenopausal bleeding occurs in roughly 25 percent of women and it is something that should be taken seriously. While the chances are the cause of the postmenopausal bleeding is relatively minor, it is better to be sure, especially if more than 12 months have elapsed since your last period.

Instructions

1. See your medical professional. The cause of most postmenopausal bleeding is minor, but early detection is critical in case the matter is more serious. Your physician will likely perform a pelvic exam, PAP smear, and possibly a blood test to measure hormone levels.

2. Take follow-up tests as advised. Depending on the results of your preliminary tests, your physician may wish to schedule more complex tests, such as a endometrial biopsy or a dilation and curettage (D & C). Sonographs or ultrasound tests may also be ordered.

3. Develop a treatment plan with your physician. When all of the test results are back, you and your doctor should begin a treatment plan based on the results. Many times this will involve something minor, such as hormones or progesterone therapy, while the best-case scenario will involve doing nothing at all unless the postmenopausal bleeding reappears.

4. Seek ways to prevent another event. Maintaining a healthy weight, proper nutrition and stress reduction will help, and they can be started at the first sign of postmenopausal bleeding.

5. Seek a second opinion if you have any qualms about the test results or recommended treatments. Spending time to know all your options and look for additional input will make you a more informed patient.

Tips & Warnings

• If you are going to have an endometrial biopsy performed, it is often beneficial to take an anti-inflammatory, such as ibuprofen, the evening before and again shortly before the procedure takes place.

References

• Women to Women
• Menopause & Black Cohosh Information Center