Post Menopausal bleeding-Benign Hysteroscopy

Posted by rainee2025 @rainee2025, Aug 15, 2025

I’ve been in menopause for a few years, las period was Feb 2023. In July 2024, started some spotting and then bleeding. Went to the doctor, they did transvaginal ultrasound and founded thickened endometrium. I had a hysteroscopy and D&C where she removed some polyps that were benign. After the few weeks of healing, all was fine and bleeding stopped.
In May 2025, same thing started happening. Spotting, some light bleeding. Had another ultrasound, they didn’t see any bleeding from cervix, determined it could be a yeast infection, prescribed Fluconazole. I also have Lichen Sclerosis which was flaring up, so she suggested bleeding could be due to that as well. Followed instructions of meds and later in the month, still had bleeding. I took an at home AZO swab that seemed to indicate some infection, so I went back to the gyno and she suggested another hysteroscopy.

Had the second hysteroscopy in June, and this time the doctor said she didn’t see any polyps. She did a biopsy of the tissue and it was benign, as she put it she was “very relieved”. She believes the bleeding is being caused by obesity, because fat cells can cause the endo lining to thicken. So her only answer was to lose weight. I asked about future bleeding concerns and she said just let them know how often. So now, the test was June 17th, I had on and off spotting a few weeks after. Had the post op visit on July 2nd. She said give it a full month healing after procedure for spotting to stop. In mid July, it did stop for a while. But now it’s August and it’s started up again. Always the same way, first a hint of pink. Then a few days later, streaks of pink, on and off. Eventually it’s more evident and I have to wear a pad. It doesn’t seem to get as heavy as a full on period.

Has anyone experienced post meno bleeding just due to obesity alone? I am happy that my results were benign, but am I supposed to have a hysteroscopy D&C each time I have bleeding episodes? When this started happening, I had prepared myself that I’d be having a hysterectomy to lessen the chance of cancer or treat if that was going to be the case. I’m grateful that was not the case, and I don’t want anything else to be wrong but I can’t shake the feeling that more is going on. I haven’t come across any other stories online like this where it was just related to obesity. Also, if I were to have a hysterectomy, would that even take care of random bleeding episodes if it’s due to fat cells?

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grumpyoldlady | @grumpyoldlady | Dec 16, 2025

Absolutely will be asking for another referral on Friday

animallover1 | @animallover1 | Dec 20, 2025

Hi @rainee2025
I just came upon your original posting. We have a similar situation. I hope you are finding answers though. I'm menopausal but don't have lichen s. and am just average weight for my height. However, like you, I had spotting 2 years ago. Then a benign endometrial biopsy. Two years passed and nothing.... then spotting. Another benign endometrial biopsy. That was back in May. Then nothing and this past week spotting again! ugh!

This time I will be getting a hysterscopy. My uterine lining on the biopsies went from .2 to .8 to 1 cm., so obviously I'm growing what appears to be a thickened lining of cells with no precancerous cells, no atypia. I thought the biopsy was "proof" all is well but now I'm told an endometrial biopsy can "miss" spots.

I will say, every single time I've had spotting I have been in an extroadinary time of stress in my life. And it seems kind of similar for you?

I have some medium size fibroids and a benign polyp, and the dr thinks that's possible these things cause the endometrium to grow or push on it and cause bleeding.

I just feel exhausted, exasperated and like there is an unknown stress (!) adding to my known stresses!

I'm hoping you will find the answers for your experience. Please share here if you wish or have time. I feel like the only way we can gather information is from each other. The more information we have, the better choices we can make for ourselves. Plus the moderator on here seems very helpful!

Best wishes!

sherricl1964 | @sherricl1964 | Dec 29, 2025

Hi Rainey, yes I am experiencing bleeding right now. My circumstances are a bit different than yours but very close. I am 61 years old and weigh 310. Don't know how that happened as I barely feel like eating anything. I started bleeding on 12/21/2025 and still going strong on 12/29. The last time I bled was in January, 2024. The time before that was February 2023. Each time as someone mentioned I had cortisone shots. I know you haven't had any shots but I'm putting it out there that even before the cortisone shots I was only spotting. I had a D&C/hysteroscopy done in November, 2020 and had benign results. I had 3 or 4 endometrial biopsies done between the November 2020 D&C and 2023. Right now I'm thinking the cortisone kicked this off but my lining had to be thick for an amount of blood in producing.
I have had a female hormone panel done and at age 60 my FSH was only 25.0 when it should have been much higher! Estradiol was 36 of and progesterone was 0.2.

I am scheduled to see my gyn again on January 29. Trying to get in earlier to see him but maybe it's for the best if I stop bleeding. Right now I am taking 100 mg micronized progesterone to hopefully stop the bleeding. I had the progesterone from earlier this year when I wanted to try an 25mg estrogen patch. Never did use the patch and I probably won't at all. So basically I'm using the progesterone in a way that he didn't prescribe it hoping it stops this bleeding.

Just wanted you to know that yep I'm still spotting/bleeding at 61 although it's never been this much and hopefully it's the cortisone. BTW I've never had the COVID vaccine either so it's not that in my case either.