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[pricey]

I'm.55 and still peri. Weaned off HRT in August. After 10+ weeks of heavy bleeds and spotting a scan showed normal lining, two small fibroids and an area near cervix which GP believes is a polyp or possibly was the heavy bleeding/large clots (tmi, sorry) passed after the scan. Referred non urgently for hysteroscopy, to check this out, possibly fit mirena. Earliest appointment is February.
I had three weeks of no bleeding after the norethisterone withdrawal bleed (to stop long bout of heavy bleeding), then had 13 days of very light bleeding and cramping having had premenstrual symptoms. At 24-25 days into the next cycle I had premenstrual headaches and low mood and then bled moderately with very small clots after non penetrative sex. (Sorry for info). This resolved after a day, followed by cramping and minimal spotting. The spotting has sometimes appeared after exercise or opening my bowels, but is often so slight it would go unnoticed if I wasn't paranoid! Are these symptoms of polyps/fibroids,  or could it be that my periods have finally got much lighter since coming off HRT? I realise it could be a bit of both. Should I be worried?

Thanks for your help.
X

[CLKD]

It's worrying you enough to ask so hopefully we can help. 

I had a polyp which bled on contact.  When I went into peri it shrunk, all on it's own, denying my Gyane the chance to remove it  . 

If your symptoms are cyclic, it sounds like perimenopause.  Do you keep a mood/symptom/food diary?  My periods waxed and waned for a few years, sometime 'normal', others a light show.  Even 10 years after the last 1 I experienced cramps and would think 'Oh not after all this time!' but with no bleed. 

Do you have a small tear in the anus which could account for spotting? 

[pricey]

Thanks CLKD.

I definitely feel it's cyclical. I am recording my symptoms.

The spotting is definitely vaginal, but it seems more likely to break through when I need a bowel movement,  but then I know those are times when my normal flow is often heaviest, as if things press on each other as it were. Could that make a polyp bleed? Could orgasm? I could understand if there was bleeding after full intercourse.

I guess I won't know until I get the hysteroscopy, which I'm dreading. When the doctor said how the presumed polyp seemed on echo and that she wasn't concerned, I asked if it could be the rather large clot I passed when I got home after the scan. She said "yes, it could. I'm even less concerned now!" My feeling is, if that was a possibility, wouldn't another scan have been preferable rather than a hysteroscopy? In the meantime, I'm not on HRT (coping ok) but just waiting on this appointment with a nurse (no named gynaecologist). It feels pretty dismissive. I'm hoping that the issue just resolves over the next few weeks and I can query the need for a hysteroscopy. It's still not quite 4 months since I stopped HRT completely so I do still wonder about a 'settling out' period.

X

[CLKD]

Get the polyp issue sorted - likely to be ought or nowt 

Then decide which symptom you would like to ease first.  Do see a menopause clinic specialist as Gyanes know about as much as GPs seem to do about HRT ! 

I would bleed heavy when having a poo, probably because the body is relaxed .  Thereis 'a lot of nerves during orgasm so it may well be triggered, depending too on how you get there ;-) 

[pricey]

Bless you, CLKD. You're such a calming influence.  x

[CLKD]

  

[sheila99]

I wouldn't worry. It's normal for periods to get lighter towards meno (also normal to have really heavy ones sometimes too). If the doc was at all worried you wouldn't have to wait so long. I'm the same with the bowel movement, I assume pushing squeezes the blood out too.

[CLKD]

It certainly did 4 me.  All that pressure in a narrow space has to have a reaction.  I would pee and bleed at the same time too, lots of 

[CLKD]

Any news?  It is often helpful to share experiences about health niggles.  One can read, use what's appropriate or shelf for later consideration ;-)

[pricey]

Hi CLKD,

I had off and on minuscule amounts of breakthrough bleeding with premenstrual type symptoms for 5-7 days until it picked up (with cramps) and  I have been bleeding very lightly now for three days.  This is definitely a period although dramatically lighter than it's been in months, but also a month after my last one. These feel like hormonal bleeds but it's as if they struggle to get going and when they do, don't amount to much. I know some of it could be accounted for by the queried polyp,  but there is undoubtedly a cycle in the midst preceded by low mood and headaches.  The first three months after stopping HRT were marked by continuous heavy bleeding. Since the course of norethisterone this has changed dramatically. I was scanned on the second day of a very heavy post norethisterone withdrawal bleed. My instincts at the time were that this wasn't a good time.  When the GP queried something over my cervix that looked like a polyp I asked if a v large clot (sorry,  tmi) that I passed when I got home from the scan could account for this and she said yes, definitely. At the time,  the sonographer said the slight thickening could be because I was bleeding. I have all this worry waiting for hysteroscopy in February but can't help feeling something has changed as I'm still bleeding off and on, yes,  but so much less and lighter, I do wonder if peri and withdrawal from HRT after 5 years could account for these symptoms?

Thanks for checking in!