Should You Worry About Menopause Spotting?
Anything that involves the incidence of bleeding is a good cause for worry. This could probably be the reason why menopause spotting, a common symptom in this phase of a woman’s life, is usually greeted with fear and anxiety.
To some extent, menopause spotting may be considered normal, particularly in perimenopause (or the phase leading up to menopause), when your body goes through major changes. Your menstrual cycle, for one, has become irregular, and it is not rare that on and off menopause spotting or bleeding happens until such time that your menstrual period completely stops as a symptom that menopause causes.
The irregular menstrual cycle is the result of changes in your hormone levels, and also affects ovulation. In the absence of ovulation, the ovary continues to produce estrogen, causing the endometrium (or the lining of the uterus) to thicken. This menopause cause leads to the erratic menstrual cycle, followed by the menopause spotting.
Though considered relatively common, women are still advised to see their doctor when they experience menopause spotting, especially in the event of excessive bleeding: Are you changing pads often? Has it been more than two weeks? Are you exhibiting signs of weakness or discomfort, particularly in the vaginal area? To evaluate, your doctor will perform D&C or Dilation and Curettage (cervix is dilated and the lining of the uterus is scraped) and hysteroscopy (uterus is viewed using a thin telescope, called hysteroscope).
An alarming scenario in menopause spotting is when you get if after menopause.
Experiencing postmenopause spotting should be discussed with your doctor. It may mean a lot of things: endometrial polyps (small growths in the uterine lining), hyperplasia (thickening of the uterine lining from estrogen stimulation), or atrophy (endometrial lining that’s too thin). The worst case scenario is a cancer growth in the uterus. Uterine (or endometrial) cancer usually happens after menopause has finished but is a symptom that menopause causes. Taking estrogen hormone replacement therapy increases your risk, so does being obese.
To confirm—or hopefully, rule out—cancer, your doctor will perform a physical exam, a pelvic ultrasound, and an endometrial biopsy, where a tissue sample from the uterine lining is put under the microscope for evaluation. Hysterectomy, a surgical procedure that removes the uterus, is the proposed treatment to uterine cancer.
All this sounds too daunting for any woman experiencing menopause spotting as a consequence of menopause cause. But before going on panic overdrive, a careful evaluation of your diet, lifestyle, general health condition and history must be done. Remember that not all menopause spotting lead to uterine cancer, and even if—knock on wood—it turns out be uterine cancer, it can be easily treated, especially when caught in its early stages.
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