WOMENS-HEALTH Messages for January, 2001: Re: postmenopausal spotting

Re: postmenopausal spotting

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 3 Jan 2001 09:16:37 -0600 (CST)

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At Tue, 2 Jan 2001, joyce wrote: >
>I'm 58 years old and I'm 3 years past menopause...I was on estradiol and
>provera on and off for about 1 and 1/2 years until last March. I
>stopped because of breakthrough bleeding...an endometrial biopsy showed
>nothing, and the ultra sound showed a 3mm stripe. This last October I
>spotted again, but very lightly, they did another endometrial biopsy...
>the result said the speciman was not sufficient for evaluation (the
>doctor's resident (intern) did the procedure). I have spotted twice in
>the past two weeks, by spotting I mean just a drop or two. Is it
>possible that the intern did not take enough tissue? And what could be
>the cause of of such unpredictable spotting? Is it possible I have too
>little estrogen? Any thing you have to say on this would help put my
>mind at ease.

By far the most likely explanation is that your endometrium is so atrophic (thin and fragile from lack of estrogen) that the bleeding is from that alone. That would explain the biopsy results, and be congruent with the U/S findings as well.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is neither designed nor intended to replace consultation with and examination by a licensed medical professional.

Please, no private e-mails.  I will not be able to answer them.

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