My partner bled heavily after 3 years of menopause. What to do?

Question

Hi doctor,

This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family history of cervical cancer in her mother to the duty doctor on the phone or to the person taking her bloods today. My question is, is the blood testing enough to rule out anything serious? Or should she see a doctor for an internal examination?

Answer 1

Hello,

Welcome to icliniq.com. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in those with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleeding include vaginal atrophy (the most common), hormonal replacement therapy for menopause like Tamoxifen, endometritis or endometrial infection, endometrial hyperplasia, endometrial carcinoma, cervical polyps, cervical carcinoma and any other gynecological carcinoma. Better to go for TVUS (transvaginal ultrasound scan), pap smear and then endometrial biopsy based on the wall thickness.