What is the reason for periods after 28 years of menopause?

Question

Hi doctor,

I am a 70-year-old woman with a 15-year history of high blood pressure and one year of diabetes, and I am taking medicine for both regularly.

Two months ago, I was surprised to have my period after a gap of 28 years. Again, after two and a half months today, I have periods. I am very nervous.

What is the reason for the same?
Maybe my diabetes or blood pressure medicine, or another reason?
I visited a gynecologist, and she advised me to take Elstale 500 (Ethamsylate) to reduce bleeding. Can you suggest what I should do?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

The postmenopausal spotting or bleeding should be evaluated cautiously because it can be one of the signs of underlying uterine cancer. But let me tell you that the most common cause for this kind of bleeding in postmenopausal women is the age-related thinning of the uterine lining due to a deficiency of the estrogen hormone. Also, the incidence of endometrial cancer when one has postmenopausal bleeding is only 10 to 15 percent.

However, this 10 to 15 percent is very important not to be missed, as this can be easily treated by hysterectomy (removal of the uterus and ovaries).

Did you get your ultrasound done?

It is important to look for the cause of bleeding, as many other conditions, like fibroids or polyps, may be a cause for such bleeding. Also, it is important to assess the thickness of the endometrial lining, which can indicate whether there is a risk of cancer. And yes, you should get yourself examined by your gynecologist and also get an ultrasound of your abdomen, a pap smear, and an endometrial aspiration biopsy done to rule out the remote possibility of cancer.

Please share the ultrasound reports and your doctor's findings so that I can guide you further.

I hope it helps.

Thank you.