Period FAQs

haven't had a period in years now im spotting

by Pierce O'Connell Published 2 years ago Updated 1 year ago
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You’ve officially reached menopause

Menopause

Natural absence of menstrual periods for at least a year.

when you haven’t had a period in 12 months. Any spotting or bleeding after that is called postmenopausal bleeding, and it means that something isn’t right. Continue reading to learn the causes of bleeding after menopause and when you should seek medical attention. What does the color mean?

A note from Cleveland Clinic
But if you have bleeding more than a year after your last menstrual period, it's time to see your healthcare provider. It could be the result of a simple infection or benign growths. But in rare cases, bleeding could be a sign of uterine cancer.
May 26, 2021

Full Answer

Why am I having periods that last for weeks?

  • Drastic weight loss
  • Going off or starting a new type of hormonal contraception
  • Obesity, especially if related to polycystic ovary syndrome (PCOS)
  • Benign uterine abnormalities, such as endometriosis and uterine fibroids
  • Certain types of cancer

Is it normal to bleed a week after your period?

You are ovulating. Ovulation, which is matured follicle rupture with the release of an egg, can cause women to bleed after period ends. After rupture of the Graafian follicle (Matured follicle), it may cause bleeding. This bleeding usually occurs a week after your period ends or in between 2 of your periods.

Why am I bleeding before my period is due?

What if I’m not ovulating and bleeding?

  1. Hormone imbalance. Your body usually prepares for your menstrual cycle, ovulation and menstruation every month. ...
  2. Endometrial cleaning. Yes, the uterus can clean itself by contracting to remove old blood from last menstrual period. ...
  3. Uterine fibroids. ...
  4. Vaginal infections. ...
  5. Emergency contraception use
  6. After an abortion
  7. Birth control pills
  8. Thyroid problems. ...

Why do I have spotting but not period?

What causes spotting before periods?

  1. Birth control. Hormonal birth control pills, patches, injections, rings, and implants can all cause spotting between periods.
  2. Ovulation. Ovulation spotting is light bleeding that occurs around the time in your menstrual cycle when your ovary releases an egg.
  3. Implantation bleeding. ...
  4. Pregnancy. ...
  5. Perimenopause. ...
  6. Trauma. ...
  7. Uterine or cervical polyps. ...

More items...

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What causes spotting after menopause?

In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancer—a malignancy of the uterine lining, but only in a small number of cases.

Does spotting count as a period?

Spotting is a small amount of blood shed during the menstrual cycle, but not enough to be considered a period. The average period typically involves 2–3 tablespoons of menstrual blood shed over 4–5 days. Spotting involves significantly less blood.

Can stress cause spotting after menopause?

Stress is rarely a cause of bleeding after menopause; stress more commonly impacts the normal menstrual cycle. Any spotting or bleeding after menopause warrants further investigation and should be brought to the attention of your gynecologist.

When should I be concerned about spotting?

If your spotting has been happening consistently for several months — or you're worried about it for any reason — keep a menstrual diary to track irregular menstrual cycles or bleeding. If the irregularity persists for more than two months, I'd recommend making an appointment to see your ob/gyn for an exam.

Why do I see blood when I wipe but no period?

Most people notice spotting as a few drops of blood on their underwear or toilet paper when wiping. In most cases, spotting should not cause concern. Often, hormonal changes due to birth control, pregnancy, or menopause can trigger it.

Can your period come back after 5 years?

Vaginal bleeding that occurs more than a year after a woman's last period isn't normal. The bleeding can be light (spotting) or heavy. Postmenopausal bleeding is usually due to benign (noncancerous) gynecological conditions such as endometrial polyps.

Can periods restart after menopause?

Menopause is the end of menstruation. In clinical terms, you reach menopause when you haven't had a period for 12 months. Vaginal bleeding after menopause isn't normal and should be evaluated by your doctor.

What does postmenopausal spotting look like?

Brown spotting after menopause is typically a sign of blood mixing into the discharge. While fresh blood is red, it turns brown or black as it oxidizes and leaves the vagina. The color may be lighter or mixed with other colors if the woman has an infection, such as a yeast infection.

What is considered a period?

A period is the part of the menstrual cycle when a woman bleeds from her vagina for a few days. For most women this happens every 28 days or so, but it's common for periods to be more or less frequent than this, ranging from day 21 to day 40 of their menstrual cycle.

What is considered day 1 of period?

The first day of a woman's period is day 1 of the menstrual cycle. "Periods last around 2 to 7 days, and women lose about 3 to 5 tablespoons of blood in a period," says Belfield. Some women bleed more heavily than this, but help is available if heavy periods are a problem. Find out about treatments for heavy periods.

How long does spotting last before period?

Ovulation spotting is light bleeding that occurs around the time in your menstrual cycle when an ovary releases an egg. This typically occurs 14 days before menstruation. Ovulation spotting may be light pink or red and last for 1 to 2 days in the middle of your cycle.

Is brown blood considered first day of period?

Brown blood is usually present toward the end of your cycle. As your body sheds the uterine lining in the first few days of your cycle, the blood is normally red. However, near the end of your cycle, the discharged blood is older and can be discolored.

What causes spotting in women?

breathing exercises. 10. Birth control. Hormones in different birth control methods, like the pill, patch, or shot, may cause spotting instead of a normal period. Estrogen helps to stabilize the lining in the uterus. It may shed irregularly if you’re on a method that’s low in this hormone.

How to track your period?

Consider tracking your periods on paper or in a tracking app, like Clue. Record things like the number of days you see bleeding or spotting, the color of the blood, and the flow to watch for patterns.

What are the signs of infertility?

infertility. issues during pregnancy. Thyroid conditions are more common directly following pregnancy or menopause. 9. Stress. Light periods or spotting instead of a period is also a sign of excess stress. This stress can be physical, meaning: too much exercise, strict dieting, or severe illness.

What hormones are involved in menstrual cycle?

Menstrual periods are the result of a complicated balancing act between the hormones estrogen and progesterone.

What happens when a fertilized egg doesn't implant?

If a fertilized egg doesn’t implant into the uterus, hormone levels drop and signal the body to have a period.

What does PID mean in STI?

Pelvic inflammatory disease (PID) PID may result when an STI goes untreated for a long period of time. It usually means that the infection has traveled from the vagina to the reproductive organs. Like other infections, it may cause irregular bleeding and spotting at the time of your expected period, and otherwise.

How early can you get a positive pregnancy test?

If you suspect you may be pregnant, try taking a home pregnancy test. You may get a positive result as early as four or five days before an expected period. To avoid a false negative, it’s wise to wait until you’ve missed your period.

What happens when you haven't had a period in 12 months?

In the years leading up to menopause , your estrogen and progesterone levels start to drop. This can cause numerous changes to your vagina, cervix, and uterus. You’ve officially reached menopause when you haven’t had a period in 12 months. Any spotting or bleeding after that is called postmenopausal bleeding, and it means that something isn’t right.

What is the color of spotting after menopause?

It’s worth consulting with your doctor for any brown, black, or red spotting after menopause.

What causes a uterus to thinning?

Vaginal and uterine tissue thinning. Decreasing levels of hormones can cause thinning of the vaginal lining (vaginal atrophy) or uterus (endometrial atrophy). Vaginal atrophy causes the vagina to be less flexible, drier, and less acidic. The vaginal area can also become inflamed, a condition known as atrophic vaginitis.

How to stop bleeding from HRT?

Otherwise, treatment options include: hormones in the form of oral tablets or intrauterine system implant. hysteroscopy or D & C to remove the thickening.

Can endometrial hyperplasia cause spotting?

Endometrial hyperplasia can cause spotting or heavy bleeding. It’s usually the result of too much estrogen and not enough progesterone. Some women with endometrial hyperplasia develop abnormal cells, which is called atypical hyperplasia. It’s a condition that can lead to uterine cancer.

How to check for cervical cancer?

do a physical examination, including a pelvic exam. take a swab to check for infections. perform a Pap test to check for cervical cancer cells. take a blood sample. do a pelvic ultrasound or hysteroscopy to get images of your cervix, uterus, and ovaries. take a tissue sample, also known as a biopsy, to check for cancerous cells.

What does it mean when your blood turns brown?

If you notice spots of brown or black in your underwear, it’s most likely blood. The discharge may be lighter in color if you also have yellow or white discharge due to infection.

What causes postmenopausal bleeding?

The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels. cervical or womb polyps – growths that are usually non-cancerous.

What is a thin, telescope-like camera being passed up your vagina, through the cervix and?

a thin, telescope-like camera being passed up your vagina, through the cervix and into your womb to look for any problems (a hysteroscopy) and to take a tissue sample (biopsy) for testing – under local or general anaesthetic.

What does a specialist do for bleeding?

A specialist, who may be a nurse, will offer you tests to help find out what's causing the bleeding and plan any necessary treatment.

What is cervical polyps?

cervical or womb polyps – growths that are usually non-cancerous. a thickened womb lining (endometrial hyperplasia) – this can be caused by hormone replacement therapy (HRT), high levels of oestrogen or being overweight, and can lead to womb cancer.

Can postmenopausal bleeding be diagnosed?

Postmenopausal bleeding. Menopause is usually diagnosed in women over 45 who have not had a period for more than a year. Any bleeding from the vagina after this time needs to be checked by a GP.

Is it important to get help from a GP?

It's still important to get help from a GP if you need it. To contact your GP surgery:

Why do I get my period back?

I need to eat healthy, or I need to exercise a bit more .". If you are giving your body a lot more extra nutrition, that can very often feed your hormones as well. And that can be one of the primary reasons for getting a period back, if you have decided just to sort everything out.

How long can you go without a period?

Two years or more without a period. There are also a few women that will go for two years or more and find that they get a period back. This is not really very common. And as far as we're concerned, once you have not had a period for two years, then that's...you're well and truly through the menopause.

Why does this happen?

Now, this can be caused by a variety of factors. Very often it's just your hormones having one last fling. They go, "I don't want to stop yet. I want to have one more go at having periods before I calm down for good." So this is usually the most common reason.

Why does my fibroid get thinner?

And suddenly because your hormone levels are changing or maybe sometimes the womb starts to get a little bit thinner as you go through the menopause, this could irritate the fibroid.

How many periods do you miss and then get one back?

For some of you, you might miss two or three periods and then get one back. And the problem with this situation is that very often when you've missed two or three periods and you get one back, that one can be quite a heavy one. It's almost as if the body's been saving up for it for some reason.

How many periods do women miss?

It's almost as if the body's been saving up for it for some reason. For some women, they will miss three or four periods and then maybe get one back. And each time that you miss, the number of missed periods will get bigger and bigger until you suddenly realize, "Oh, I've not had a period for a year or more."

Do you get your period back after a year?

Now, for some women, they might find that they have got to a year or even a year and a bit without a period, and suddenly they get one back again. And this is very often the time when they can get a little bit worried. Some schools of thought say that you are through the menopause once you have not had a period for a year. In our experience, we find that a number of women will get periods back, or they'll get the odd one back after a year or more.

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