Hello, this is Dr K.. Answers are not medical advice and do not constitute a doctor/patient relationship. I look forward to helping you today.
It sounds like the bleeding is due to removing the patch? Is this correct?
Im waiting for you to come back
Its normal for bleeding to occur with this type of hrt. Its a sequential patch so if you have bleeding towards the end or after using the two patches, that is normal.
If you have not had any bleeding for over a year, even on the patch, and now have bleeding, thats not normal
Theres no reason at all to wait 6 weeks or to be off the patch at all to begin to investigate postmenopausal bleeding. You should get a private gyn referral and have an endometrial biopsy The use of estrogen and progesteron does not mask a cancer diagnosis
Thank you. No the bleeding is not caused by patch removal. I contacted my gp about the bleeding and she advised me to remove the patch as the NHS guidance says I have to be off the patches for 6 weeks before referral to gynae, so that the effects of the hrt are out of my system.
I have not had any bleeding for several years. I wnet on hrt over one year ago, becaue of many years of hot flushes.
From what you wrote, this sounds abnormal, so I should go ahead and ask her for a private referral through my insurance.
please note i am off to bed now, so will reply to your reply and do rating in the morning.
That may be the nhs guidelines, but its a recommendation that you have a biopsy if you have bleeding when you have not had bleeding for a year or more.
Yes this sounds abnormal, though its still most likely a side effect of the hormones, so try not to worry.
You should pursue a private gyn referral and have an endometrial biopsy.
Good luck, Alison
Many thanks. A great help and reassuring.