HomeAnswersObstetrics and Gynecologypostmenopausal bleedingWill diabetic and hypertensive drugs result in resuming bleeding long years post menopause?

I resumed my period after 28 years of menopause. What is the reason?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 6, 2020
Reviewed AtSeptember 5, 2023

Patient's Query

Hi doctor,

I am a 70-year-old woman with 15-year history of high blood pressure and one year of diabetics and taking medicine for both regularly. Now two months back, I was surprised to have my periods after a gap of 28 years. Again after two and half months today, I have periods. I am very nervous, what is the reason for the same? Maybe my diabetic or blood pressure medicine or any other reason? I visit a gynecologist and she advised me some Elstale 500 for reducing bleeding. Can you suggest what I should do?

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 deficiency of the estrogen hormone. Also that the incidence of endometrial cancer when one has postmenopausal bleeding is only 10-15%. But however, this 10-15% is very important to be not missed out as this can be easily treated by hysterectomy (removal of 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 look for the thickness of the endometrial lining which can hint if there could be any chance of cancer. And yes, you should get yourself examined by your gynecologist and also get a pap smear and 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 through further.

Investigations to be done

Gynecological check up. Ultrasound abdomen and pelvis. Pap smear. Endometrial + endocervical biopsy.

Treatment plan

Depends on the reports.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy