Sudden extremely heavy bleeding after 10 months of no period - am I wrong to be concerned?

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I'm 51 and have had no period for 10 months and then with no warning I had sudden very heavy bleeding. I had to change every 45 minutes to a hour. This lasted for four days, but I have had pink spotting on occasion since then. I was sent for an ultrasound which showed a coarse myometrium, a few small intra-mural fibroids, some subendometrial tiny cysts and a 6mm endometrial thickness. 

My gp says no further action is required. I'm concerned because if I had reached 12 months of no period then they would consider the 6mm endometrial thickness as something to look into, but as it was only 10 months, it's considered normal. I have also not had any issues prior to the bleed. It didn't feel like any period Ive had in the past and the fibroids and cysts are only small, so shouldn't be causing the amount of bleeding I've had. I have had many menopause symptoms consistent with low oestrogen, so again fibroids should be improving rather than becoming a sudden issue.

I'm not on any hrt as I had to stop taking it just over a year ago due to having high grade dcis.

I've been having stabbing pains in my lower abdomen which are worse when I stand up. I then have aches in my lower back also radiating into my upper thigh area. I have had nausea and dizziness which I have only had in the past if I've have higher levels of progesterone levels ad lower oestrogen. 

Has anyone else experienced difficulty in getting their GP to take them seriously?

  • To be honest, given your prior history I would be asking for a referral to a gynaecologist.

  • Hi Allsmiles

    You did the right thing in getting checked out and I can understand your concern that your GP says no further action. 

    My feeling is that a referral to a gynaecologist for further investigation is worth asking about. Something has caused these symptoms.

    I remember being told by my CNS that any bleeding that soaked through a pad in less than an hour was a reason to seek emergency/urgent care. 

    I wonder if it would be worth giving the Support Line a quick call and speaking to one of the nurses about this. I think listening to your body and knowing something doesn't feel right is a good enough reason for pressing for further investigation. I would also ask about routine blood tests. 

    Jane

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thank you for your response. I think calling the support line is a great idea. I'll do that and I'll push for a referral from my gp.

  • Thanks for your advice. I'll contact my gp and will push for a referral.

  • Thank you, I've now been referred for a hysteroscopy and biopsy which I'm having next week.

  • have you also had a CA125 blood test? It's not the most useful test in the world as high levels can be caused by various things but I still insisted on having one. Mine was in the normal range and while it's not definitive I'm taking some comfort from that while I wait for the biopsy results. It's 2-3 weeks for those in my area. Be prepared for being asked before the hysteroscopy if you have had children and if so were they vaginal deliveries. In your situation I would also have pressed for the hysteroscopy and biopsy.

  • That's good news. 

    The hysteroscopy is just to have a clearer look. The biopsy is the only thing that will hopefully rule out anything serious. 

    Just a thought- but I see you had DCIS previously- some people who have had breast cancer get put on tamoxifen or similar hormone blockers. Tamoxifen in itself can cause a thickened endometrium. 

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thanks, I wasn't given any tamoxifen and also had to stop taking hrt in September 2024. I'm glad I've finally been referred though as my original gp appointment for this was at the end of September.

  • I haven't had the blood test.

    The waiting for results is difficult. I hope you get good news.