Postmenopausal period after finishing chemo?

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I had a breast cancer diagnosis January 2021 and they removed my Mirena coil. I bled afterwards but it was more like a trauma bleed than a period and I haven't bled since. Blood tests in April 2021 confirmed I was postmenopausal. I had a mastectomy, then ECT chemo May to September last year, Herceptin injections until August 2022 and Letrozole.

I just woke up bleeding.

I'm nearly 53 and I really thought I was finished with all that. Has anyone else experienced anything similar?

  • I can think of different reasons for this, but the first thing on my mind is to have this checked by a doctor. How much bleeding? If it's the same as what you recognise as normal period bleeding, you can wait until Monday, then make contact with the health professionals (GP, breast nurse, whoever you feel most comfortable with to start getting things moving.) If, however, you are losing a lot of blood, you need to have it looked at as soon as possible, meaning, call 999. 

  • Hi, I also discovered I was post menopausal during my treatment,  it haven’t had any bleeding since.  I do think you should mention it to your Doctor though, as any bleeding after menopause should be checked out.  Best wishes 

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  • Hi, it can happen that periods return after treatment. After the bank holiday ring your breast care nurse as your oncology team will want to know. It does need to be looked in to x

  • Thank you! No it was just a bit of brown blood which has stopped now, with very minor cramping that I probably wouldn't have noticed without the bleed. That's still going on. It wasn't the amount of bleeding that bothered me so much as the possibility that I was no longer post-menopausal. I'll call after the bank holiday.

    Why do these things always happen on the Friday of a bank holiday weekend? Not serious enough for 111 but enough to make me worry all through the holiday. Pfft.

  • Thank you, I will.

  • Thank you! If I wasn't having periods before the treatment, and I'm now having all hormones suppressed, I'm not sure why it's come back?

  • Why do these things always happen on the Friday of a bank holiday weekend?

    Here is the full explanation, curtesy of an airplane mechanic called Murphy, known better in these parts as Sod's Law: "If anything can go wrong it will, and at the worst possible time." A side comment to this law by a colleague of Murphy during WW2 was, "Murphy was an optimist." 

    Joking aside, yeah, I too have had several of these, when something comes up just after the point when everyone had left on a Friday, and now there is no one to talk to until Monday or Tuesday. I pointed out several times that they need to set up a system where someone is at least available on the phone, but I get the feeling that until a decision-maker finds themselves in our situation, this will not change. The chemo helpline is not much better either, because in my experience, they give one of three answers: "Go to A&E" (which I was never physically able to do even had I wanted to, not to mention being immuno-compromised and sitting in a waiting room full of sick people,) "Come in to the hospital on Monday" (thanks, I don't need you to tell me that, but it's Friday night and I need help NOW,) or, "Dial 999" which I did do on several occasions, but I didn't need the chemo helpline to tell me that. 

    I believe that when it comes to cancer patients there needs to be a 24/7 access to a healthcare professional who actually knows, rather than the conversations I have had with 111 doctors who told me right at the start that they know nothing about cancer and would have to refer to the chemo hotline.... round and round it goes.

  • Haha! Dear Murphy, he got it right. Wink

    I have chatted with the lovely Macmillan nurses right here. They've all been wonderful, and Lorraine who I chatted with this time said she was on duty all over the bank holiday weekend. Bless her! This is an amazing service which is not advertised enough.

    I have spoken to 111 doctors before who have contacted the chemo hotline on my behalf.