Period Started Again After 11 Months

Postmenopausal Bleeding

Postmenopausal bleeding is vaginal bleeding that occurs a year or more afterwards your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In nigh 10% of women, haemorrhage afterward menopause is a sign of uterine cancer.

Overview

What is postmenopausal haemorrhage?

Postmenopausal haemorrhage is bleeding that occurs after menopause. Menopause is a stage in a adult female'south life (around historic period 51) when reproductive hormones drop and her monthly menstrual periods terminate. Vaginal bleeding that occurs more a year after a woman's last menses isn't normal. The bleeding tin can be lite (spotting) or heavy.

Postmenopausal haemorrhage is unremarkably due to beneficial (noncancerous) gynecological atmospheric condition such as endometrial polyps. Merely for near 10% of women, bleeding after menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the most mutual type of reproductive cancer (more common than ovarian or cervical cancers.) Talk to your healthcare provider if you feel any haemorrhage after menopause.

Who is more than likely to have postmenopausal haemorrhage?

Anyone tin can have vaginal haemorrhage, especially during perimenopause. Perimenopause, the time leading up to menopause, usually occurs between ages forty and 50. It's the stage when a woman's hormone levels and periods starting time to change.

How common is postmenopausal bleeding?

Postmenopausal haemorrhage occurs in about 10% of women over 55.

Symptoms and Causes

What causes postmenopausal bleeding?

The most common causes of bleeding or spotting subsequently menopause include:

Endometrial or vaginal cloudburst (lining of the uterus or vagina becomes sparse and dry out).
Hormone replacement therapy (HRT) (estrogen and progesterone supplements that decrease some menopausal symptoms).
Uterine cancer or endometrial cancer (cancer in the lining of the uterus).
Endometrial hyperplasia (the lining of the uterus gets too thick and can contain abnormal cells).
Uterine polyps (growths in the uterus).

Other causes can include:

Cervical cancer (cancer in the neck).
Cervicitis or endometritis (infection or inflammation in the cervix or uterus).
Bleeding from other areas, nearby, in the bladder or rectum or haemorrhage from the skin of the vulva (exterior nigh the vagina).

Diagnosis and Tests

How do yous know the cause of postmenopausal haemorrhage?

Identifying the cause of the haemorrhage can include the following:
Exam by your provider of the vagina and cervix.
Pap smear to bank check the cervical cells.
Ultrasound, usually using a vaginal approach, which may include the use of saline to get in easier to see whatsoever uterine polyps.
Biopsy of the endometrium or uterus. In this procedure, your healthcare provider gently slides a minor, harbinger-like tube into the uterus to collect cells to run across if they are abnormal. This is washed in the role and can cause come cramping.

Management and Treatment

How is postmenopausal bleeding treated?

Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the near common treatments.

Medications include:

Antibiotics tin can treat most infections of the neck or uterus.
Estrogen may assist bleeding due to vaginal dryness. Y'all tin can use estrogen directly to your vagina as a cream, ring or insertable tablet. Systemic estrogen therapy may come up every bit a pill or patch. When estrogen therapy is systemic, it means the hormone travels throughout the trunk.
Progestin is a synthetic form of the hormone progesterone. Information technology can treat endometrial hyperplasia by triggering the uterus to shed its lining. Y'all may receive progestin as a pill, shot, foam or intrauterine device (IUD).

Surgeries include:

Hysteroscopy is a procedure to examine your neck and uterus with a camera. Your healthcare provider inserts a hysteroscope (thin, lighted tube) into your vagina to remove polyps or other abnormal growths that may be causing bleeding. This tin be washed in the office for diagnosis. To remove any growths, hysteroscopy is frequently done in the operating room under full general anesthesia.
Dilation and curettage (D&C) is a process to sample the lining and contents of the uterus. Your healthcare provider may perform a D&C with a hysteroscopy. A D&C can treat some types of endometrial hyperplasia.
Hysterectomy is a surgery to remove your uterus and cervix. You may need a hysterectomy if you have uterine cancer. Your healthcare provider tin can tell yous most the different approaches to uterus removal. Some procedures are minimally invasive, and so they use very small cuts (incisions).

Living With

When should I contact my doctor?

Contact your healthcare provider if yous experience vaginal bleeding:

More than a year after your last menstrual catamenia.
More than a year afterwards starting hormone replacement therapy (HRT).

A note from Cleveland Clinic

It's normal to have irregular vaginal bleeding in the years leading up to menopause. But if you accept bleeding more than a twelvemonth after your final menstrual flow, it's time to see your healthcare provider. It could exist the upshot of a simple infection or benign growths. But in rare cases, haemorrhage could exist a sign of uterine cancer.

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Source: https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding