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Re: Menstruation after Menopause From: Ronald Barentsen, MD (anonymous@obgyn.net) Wed, 14 May 1997 10:19:08 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anne: "THANKS FOR THE INFO!!!!!!" Previous message: Roberta: "Re: ER Question DOCTORS SHOULDN'T REPLY" In reply to: Susanna: "Menstruation after Menopause" At Sat, 10 May 1997, Susanna wrote: > >I have not had a period in over 14 months and assumed that >I am in menopause. I had a gynecological examination a >month ago and a pap test and everything appeared to be fine. >Yesterday, I began to menstruate again...very heavily. >What could be the reason for this? As the bleeding give you the impression of a menstruation, the most usual cause of this bleed is a temporary activity of your ovary. We see often this kind of bleeds. But by definition you are postmenopausal after 12 months amenorrhoea and every postmenopausal bleeding needs analysis. Usually we perform a vaginal ultrasound and in case of ovarian activity and/or a certain endometrial thickness we advice progestagens for 10-12 days to be certain that there is no residual proliferative or hyperplastic endometrium. In doubt an endometrial biopsy can be done. In case of recurrent bleeding, even only a little, it is wise to perform a hysteroscopy. See your gynecologist for further advice. -- Ronald Barentsen Correspondent OBGYN.net for menopause and hormone replacement therapy Next message: Anne: "THANKS FOR THE INFO!!!!!!" Previous message: Roberta: "Re: ER Question DOCTORS SHOULDN'T REPLY" In reply to: Susanna: "Menstruation after Menopause"

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