How to manage irregular bleeding during menopause?

Question

Hello doctor,

I have been experiencing vaginal bleeding for a few months. A vaginal ultrasound was performed, and this is what they found: A hypoechoic 0.86-inch mass in the fundal portion of the endometrial canal, which may be benign, such as a submucosal fibroid. However, neoplasm remains a concern.

They also prescribed me Norethindrone. I have a biopsy and hysterectomy scheduled for next month. Is that too long to wait? I have been told that at my age (51), this can happen. I have always had fibroids.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It sounds like you are dealing with ongoing bleeding, fibroids, and a scheduled hysterectomy. Here are some key points to consider:

Bleeding duration: Irregular bleeding is common during perimenopause and menopause, especially in those with fibroids. However, persistent bleeding should always be evaluated to rule out serious conditions, such as cancer, which is why a biopsy is essential.
Hysterectomy wait time: Waiting until next month is likely appropriate if your doctor is not overly concerned about malignancy, especially since they will reassess the situation based on your biopsy results. However, if your symptoms worsen, such as heavy bleeding, severe pain, or other concerning signs, it may be worth discussing whether the surgery can be scheduled sooner.
Medications: Norethindrone is commonly prescribed to help manage bleeding, but if you are still experiencing cramping and bleeding, your doctor may adjust your treatment or explore alternative options to relieve your symptoms until surgery.
Next steps: After your biopsy, your doctor will have more information about the mass and can determine if moving up the surgery is necessary.

Keep a close eye on your symptoms. If you experience increased pain, heavier bleeding, or anything concerning, do not hesitate to follow up with your doctor.

I hope this helps address your concerns.

Thank you.