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Dr. Lawrence
Dr. Lawrence, OB/GYN
Category: OB GYN
Satisfied Customers: 853
Experience:  Board Certified OB/GYN and accomplished educator
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I have started having periods 17yrs after going through the

Customer Question

I have started having periods 17yrs after going through the menopause seen a gynea who says I am post menopausal
Submitted: 2 years ago.
Category: OB GYN
Expert:  Dr. Lawrence replied 2 years ago.
Dr. Lawrence :

Hello, and thank you for your question. I will be happy to assist you. Answers are for educational purposes only.

Dr. Lawrence :

When you bleed after menopause, it is called postmenopausal bleeding.

Dr. Lawrence :

It needs to be evaluated.

Dr. Lawrence :

Most of the time, it is due to the uterine lining being very thin due to lack of estrogen.

Dr. Lawrence :

It can however be due to something more serious

Dr. Lawrence :

There are situations where the lining can be overstimulated and you can develop a precancer or a cancer of the lining

Dr. Lawrence :

So any bleeding needs to be evaluated by your gynecologist

Dr. Lawrence :

Typically they can do an ultrasound and look at the thickness of the lining of the uterus

Dr. Lawrence :

If it is 4mm in thickness or less, then that is very reassuring that it is not something serious causing the bleeding.

Dr. Lawrence :

Thicker than that, and you should have a sampling of the lining of the uterus obtained.

Dr. Lawrence :

The sampling can be done in the office with an endometrial biopsy.

Dr. Lawrence :

Sometimes a dilation and curettage procedure

Dr. Lawrence :

Do you have any questions?

Dr. Lawrence :

Please let me know if you have any questions and I will be happy to answer them.

Dr. Lawrence :

Best of luck.

Dr. Lawrence :

Please click on excellent service.

Dr. Lawrence :

Thank you.

Expert:  Dr. Lawrence replied 2 years ago.
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