Re: MENOPAUSE: Postmenopausal Bleeding: Related to recent dieting and weight loss?
From: Professor Galal Lotfi (anonymous@obgyn.net)
Sun, 26 Jul 2009 01:20:23 -0500 (CDT)
I agree with you in all your worries.
The gold standard test for postmenopausal bleeding is DC (Dilatation and
Curettage) biopsy, Have a second opinion with a professional that can do
the test for you. This the only way to know.
At Sun, 19 Jul 2009, Over50WhiteWoman wrote:
>
>Stats: I am 57 with 5 grown children, had 8 pregnancies, and was treated
>for HPV about 15 years ago with laser surgery. I took BC pill in 1984
>for about a year. No hormones since then. My last real period was at
>least 3 years ago, my last PAP test was 3.5 years ago, and I haven't had
>sex since then.
>
>Last September I decided my 165 lbs were too much. By March I had lost
>about 30 lbs (now 40!), intentionally. For several months I exercised
>almost daily for about 45 min/day. On Feb 23 I noticed a bloody spot on
>my underwear (bright red blood), and on bathroom tissue. That was all.
>In March I started planting rose bushes on March 18 and 19, for a couple
>of hours, digging, hauling dirt, etc. That evening (March 19), I felt
>real menstrual cramps for at least an hour or so. The next day I found
>the spots in my underwear again. It lasted for several hours, but very
>tiny amount. I called the Dr.
>
>The following Monday I had a PAP test, which came back negative 2 weeks
>later. On April 10, the spots returned (only for an hour or two this
>time). On April 17, I had an ultrasound, resulting with 6.41 mm
>thickness measurement of the endometrium. (Normal is 0-5 mm.) Dr. tried
>to but could not complete a biopsy due to cervical abnormalities or scar
>tissue or something (previous cone biopsy).
>
>She told me to come back when the bleeding starts again, so she could
>evaluate. I went back to my primary care Dr. and she said wait and
>repeat the ultrasound in 6 months. The bleeding has not returned. I
>have stopped daily exercising, and weight loss has slowed some.
>
>Should I be satisfied with waiting? Could my spotting just be the result
>of 'freeing up' the latent estrogen stored in my fat cells when I lost
>weight, which may have caused the spotting?
>
>Wouldn't endometrial cancer CONTINUE to cause spotting? It's now been
>over 3 months. Oh, one other thing I wondered about. About 1 month
>before the first incident I started taking vitamins with 'phytosterols'
>(800mg) to lower cholesterol. I have always been sensitive to soybean
>estrogens in those menopause supplements, so I just wondered. .
>.anyway--Should I be doing anything right now, or is it safe to just
>wait. I don't have health insurance and want this settled.
--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597
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