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Menstrual bleeding after year without period

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I am 53 and started a period again without having any bleeding for 1 year and 5 months. I had breast tenderness and estrogen type symptoms like I was ovulating the last two weeks of July. Last Sunday (August 9) I started a period. I had it for 5 days and it was a moderate to light flow with red blood and some clots. It was just like when I used to have periods. Now it is ending
and my breast tenderness is gone and there is a little just residual spotting (ending) of the period. I am concerned since it was over a year since the last time I bleed--and a year previously I had had three mini-periods (Jan,Feb, March 0Cool. I went to my doctor last year because I had some spotting (mini periods) after PMS symptoms. I had an endometrial biopsy in April 2008 and it came out all clear. This time when I saw my doctor I had an ultrasound the day after the bleeding started and it looked like all signs were a period. One ovary showed signs of poly cysts (maybe like I had just ovulated again?). The endometrium was 10mm on Day 2-3 of the period, I do have three small fibroids (that I knew I had from early 2000) and a possible polyp that was evident on this new ultrasound. Should I undergo another endometrial biopsy, or should I allow the doctor to do a D&C for diagnostic purposes. I am a healthy, non-smoking, vegetarian, and very physically fit. Thank you for your advice.
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First Helper Intuitive
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replied August 15th, 2009
Community Volunteer
I am not a nurse nor doctor, but I will answer as good as I can...In order for you to speak with a doctor here at the site, you must address your question at the "Ask a Doctor" Forum at the top of this page...I, personally know of many friends that have gone in and out of periods as they progressed through Menopause...However, I as a woman, would be inclinded to let my OB_Gyn make this call and if I had any questions in my mind, get another opinion....

Good luck,
Caroline
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replied August 28th, 2009
I am going through exactly the same experience as the writer (August 9th)
I am, terrified!
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replied July 11th, 2011
I hadn't had a period in over a year and had it for a week in April. My Doctor says that is not good, and wants to do a biopsy or a D&C. I feel fine. I'm 51, and very active.
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replied April 26th, 2012
Concerned over period
I just turned 41 last month. I haven't had a period for 13 months. Last week my breasts were very tender and today I started showing signs of starting my period. I was told by my doctor last July that I was going through periomenapause. My sister died at age 30 of uterine sarcoma cancer so anything abnormal with my body concerns me. I'll be calling my doctor tomorrow
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replied July 9th, 2013
I just saw my doctor today with the same symptoms; although I forgot to tell them about the tender breasts. Thank you for the reminder. I am 51 and haven't had a period for probably 3 years. I started my bleeding two days ago and it is heavy heavy heavy. I have had to wear double pads and still find me having to change clothes 2-3 times each day so far. My regular doctor made me an appointment with a gynocologists tomorrow. I do not see what other women on this site found out. Can anyone give me heads up on that?
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replied July 25th, 2013
I am 47 and haven't had a period for a year. Last week I got it and again this week! From reading these posts, I'm a little more at ease knowing it happens to others.
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replied July 31st, 2013
PERIOD AFTER 2 YEAR ABSENCE
Seems to me doctors have a standard of bleeding after a year then they give us the 'cancer' testing scare. I know it's better safe than sorry, but this is killing me. I had a period, after 2 years of nothing. it came on normal and ended like it used to in my 30's. Went to doc today and she immediately called it 'bleeding' after menopause. told her im again having hot flashes and tender breast its possibly hormonal but now I've had a pap, scheduled for a uterine ultrasound and she said i'll have a biopsy too. I feel better reading all the posts because looks like it happens to quite a few of us. i'm 53 in good health and active. so those that have recently posted PLEASE UPDATE US.
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replied August 29th, 2013
menopause bleeding
Doctors:
I am 53 years old, and I haven't had a period over a year, and have been bleeding for 12 days now. Some days its it light bleeding and then other days, I have a heavy bleeding. I am getting lower back pains! Off and on pain in my lower sides! I am really scared to go to the doctor!
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replied January 28th, 2015
no period for a year and then hello
Hi I am 51 and just had a period with all the normal period symptoms after 1 year or possibly longer. Going to doc in about 10 days.
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replied January 28th, 2015
Active User, very eHealthy
Post-menopausal bleeding is more common than most women and doctors realize. Most episodes tend to occur in the 5 years following menopause. And typically it is nothing more than some sporadic ovarian activity. The ovaries never really shut down; they continue producing hormones into a woman's 80's for optimal health and well-being. However, they do say that any post-meno bleeding should be investigated to rule out anything serious. If it happens to be caused by endometrial hyperplasia (as diagnosed by biopsy), it is usually treatable / curable with medication.

Let us know what you find out at your doctor's appointment...hoping all is fine!
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replied February 3rd, 2015
Post Menopausal bleeding
I will be 58 in a month and would be hitting the one year mark of no periods (finally). Been staying with daughter and granddaughters for past few months. They all started their periods this week and WHAT I am having one too!!!! Talk about hormones in the air!!!
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replied May 9th, 2016
13 months without...and then...
I thought I'd circle back on this to give a conclusion on my experience.

I'm 55 and a few months ago I got a 4-5 day period after 13 months without. I thought I was in menopause. I called the doc as instructed on the boards and went to my primary care who immediately referred me to a GYN.

Tip: start with a GYN

GYN explained that 1 year of no bleed is the benchmark for post-menopausal. But time isn't a lab and it's not conclusive. They have to identify if we're menopausal for sure (blood work). Three markers in the results have certain levels to determine if you are for sure menopausal. If all three show menopausal, then you're menopausal.

Additionally, they proceed as there shouldn't be any bleeding. They check the uterus lining, cervix, etc. Run tests. Basically, besides the bloodwork, got an internal and external ultrasound to check the cervix, uterus and ovaries.

My blood work came back 2 markers showing menopause, 1 showing not quite but almost menopause. So "inconclusive" they said.

After a few months, my follow up today had a 2nd ultrasound and all was good. No further bleeding and verified there's no abdominal pain or bloating

They started me on Provera medication. After the dosage (14 days), then within 2 weeks after I stop the meds, if I get a period, then I'm not menopausal but I'm building up tissue because of that 3rd inconclusive marker. I will take the medication every 3 months until the bleeding no longer occurs and I'm officially menopausal. The Provera clears out the tissue build up until it no longer builds up and the periods finally stop.

If after the 14 day dosage, I do not have a period within 2 weeks, then I'm now menopausal and the inconclusive marker was just borderline enough to bring on this last period. I should not bleed again or I need to go back.

So, get the blood test to check your markers so you know for sure if you're menopausal. One year is their guideline without a period to define menopause and it used to be 6 months. It's not a definite thing of course but you should rule out any other issues.

If you are having spotting type bleeding, not a full period go in and have the tests. They want to rule out polyps or whatever. If it's a real period, go have the tests so you can get a prescription so the tissue is cleared out.

I worry about anything but please don't freak ladies. The tests are nothing to fear. Think of it that our hormones may not just shut off totally and have a slow trickle that may be still building up tissue in the uterus.

Good luck!
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