QUESTIONS AND ANSWERS:
Posted by adminSHOULD UNUSUAL BLEEDING BE REPORTED?
It is important to know about bleeding, when it is abnormal, and when to report to your doctor.
Heavy periods Around the menopause, women often experience heavy bleeding. This should not be ignored. In almost all cases it is due to hormonal changes, but, in a small number of cases, there may be something abnormal producing this, and a dilatation and curettage should be performed. This is not only for diagnosis, but is often curative.
Prolonged periods Any period that lasts longer than seven or eight days, or, if your periods are usually long, if there is a pronounced increase in length, should be reported.
Bleeding between periods This should be investigated; it may be due to a polyp or local build-up of tissues in the uterus or cervix, but it may be due to something more severe. It may also be due to oestrogen lack, due to an atrophic vagina, and in these cases it may also occur after intercourse. This should also be reported. Other bleeding that should be reported is bleeding that is more frequent, and bleeding that occurs twelve months after the last menstrual period.
Missed periods Although missed periods are very common during the menopause, you will probably want to consult your doctor to ensure you are not pregnant. If you are pregnant, and wish to carry on with the pregnancy, tests can be done to determine whether the baby has abnormalities. This should be considered as there is a relatively high degree of abnormality in babies of older women.
With oestrogen therapy, what bleeding should be reported?
1 Bleeding while the tablets are being taken unless progestogen tablets have been taken in the preceding week.
2 Any bleeding which is heavy or prolonged at any time, even if it is at an expected time, that is following progestogens.
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