Connect
Post Menopausal bleeding-Benign Hysteroscopy
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?
Like
Helpful
HugInterested in more discussions like this? Go to the Menopause Support Group.
Connect
@rainee2025 Hello. I'd like to welcome you to Mayo Clinic Connect. It looks like you are already receiving support from other members. I'd like to comment that you are doing everything possible to figure why you keep experiencing post-menopausal bleeding. This is something that all women need to pay attention to and report to their gynecologist as it certainly isn't the norm. The information you shared about post-menopausal bleeding and obesity is new to me. Is this something that your endocrinologist explained to you? I'm going to look that up so thank you for pointing me in that direction.
What's next for you? Will you talk with your doctor about how to balance your medications? Will you start the Ozempic soon?
@rainee2025 I did some research and found this information from a valid and reliable website. As you suggested, this report shows that there is a link between obesity and post-menopausal bleeding.
Bleeding After Menopause (ACOG) American College of Obstetricians and Gynecologists:
-- https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know
When looking at other information obesity turns up as a risk factor for endometrial cancer but why the link occurs it is not often explained.
Using Google Scholar, I found this.
Obesity and menopause: Gynecological Endocrinology:
-- https://www.tandfonline.com/doi/full/10.1080/09513590.2024.2312885
I read a few other articles I found through Google Scholar however the factors that were investigated which included obesity and postmenopausal bleeding also included other factors that were not relevant to you. So I did not include those here.
Like I said in an earlier post it's clear that you are doing everything you can to work on your health. This is not an overnight process or even something you can do in a week or so. It will take some time to get to where you want to be with your health. I hope you will give yourself grace. Please give yourself a pat-on-the-back each and every day that you do one or two things that will result in your own health improvement.
Would you like to share the websites or specific places you found your information?
-
Like -
Helpful -
Hug
2 ReactionsOdd question here...have you by any chance had cortisone shots? I've read they can cause spotting
-
Like -
Helpful -
Hug
2 ReactionsThank you for the reply, it is very informative! And sorry for the delay in getting back here, it’s been busy (which I guess is a good thing!).
I haven’t started the Ozempic yet, I just keep having a feeling that I shouldn’t while all these other things are going on, somewhat unresolved. Im going back to the Endocrinologist Sept. 3rd and I will see where I stand so far having taken the Metformin somewhat regularly. I know all things point to weight loss, and that should be my main focus. But Ozempic (or similar) still worry me because of the potential side effects, which I’m somewhat prone to already with IBS, and a gallstone (not sure if I’ve mentioned that).
I am going to try to eat better and move more. And thank you, I will remember to pat myself on the back anytime I do something in the right direction, no matter how small it seems. Thank you 🙏 🙂
-
Like -
Helpful -
Hug
2 ReactionsHey there, nope I’ve never had any of those shots!
Wishing you a long life of good health 😍
Yes happened to me
-
Like -
Helpful -
Hug
1 Reaction@rainee2025 I hope your appointment with the endocrinologist on September 3 will help you to decide your best path forward.
Will you please come back here and let me know what happens at your endocrinology appointment?
-
Like -
Helpful -
Hug
2 Reactions10 years post menopause, had abulation prior to menopause and hysteroscopy and d&c in June due to bleeding. Since then have bleeding every 2 months getting heavier and started again tonight after only a month. Cramps included. Last time was 12 days. Doctor brushed it off but am seeing him again Friday and I want answers!!!! Have heard of women bleeding after menopause due to the jab but I never did so I know that's not my problem but can't find any answers to other causes
-
Like -
Helpful -
Hug
1 Reaction@grumpyoldlady
Is your doc a gynecologist and/or a menopause specialist? I wonder if you need another opinion.
-
Like -
Helpful -
Hug
1 Reaction