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[Greenfields]

Hi,
Has anyone had a period after months of not having one? Im 59 and not had one since last April, when i then came off HRT and now im bleeding. Im now in meltdown with worry, my health anxiety since starting the menopause has taken over my life, im so sick of worrying and going into panic mode! I do take Vagirux when and as needed, i wasn't sure if it was that?

[CLKD]

Morning.


Breath!  Hormones rise and fall as we go into peri.  Which HRT regime were you prescribed and how long did U use it?

It may well be your own hormones as the effects of replacement wears off.

As for Vagirux: this should be used nightly for 2-3 weeks then as necessary, i.e. every 3rd and 5/6th night.  This keeps the vagina less dry. 

R U able to describe the bleed: heavy, light, intermittent: if the vaginal walls are thin there may be a 'show' on wiping.

[K45]

Try not to panic as this seems to be quite common and several of my colleagues have also been through this. They are all absolutely fine and were just referred to gynae for a check up. It's very likely nothing at all but always best to let your GP know in case they want to get it properly checked out by gynae.

[Greenfields]

Hi, thank you for your replies, it's a very lonely place when you are worrying and feel on your own! I was on the Ostrogel and utergestron originally since 2021, then i changed to the Evoral 50 patches last April 2024, very briefly as i was still struggling, but they caused me to have heavy periods so i decided to come off HRT all together. Since then i had slight spotting in may and nothing since until today. It does feel like a period, not heavy but definitely bleeding. I did have Vagirux last night, i tend to use when i need them tbh. I have seen the GP this afternoon who examined me and has made an urgent referral because she said this should not be happening at 59yrs old, i didn't feel very reassured and dreading waiting now to find out what's going on!

[CLKD]

The vagina requires constant oestrogen replacement.  Do U have atrophy?  MayB you don't require any treatment at all.  For me it was like razor blades up there with occasional urine infection-type symptoms: urine tests were negative, my GP diagnosed me over the 'phone and prescribed 'ovestin' now sold as 'estriol'.

Your GP is following the correct guidelines.  'urgent' is a word that is worrying but means that you should be seen within 2-3 weeks, though with staff sickness levels this may B a few weeks longer. 

[K45]

Urgent referral sounds really scary but as CLKD says this is the guidelines they all have to follow. My colleagues were put on the 2 week urgent referral pathway too. This is standard protocol for any abnormal bleeding. It's way more likely that there's nothing wrong...try to put it out of your mind between now and your appointment. Easier said than done I know but trying to keep busy and distract with other tasks will help x

[Greenfields]

I really do appreciate all your replies, i am so scared, so thank you!

[CLKD]

What's the worst that could happen ?

[Greenfields]

Im petrified of cancer!

[CLKD]

As many are, both male and female.  I was more worried about treatment than the disease, also whether panic attacks would stop me attending sessions.  Staff are used to patients needs support and explanation so take along a list of worries to appts.

[Bunny lady]

Greenfields I completely understand. I’m on the 2 week pathway being seen Tuesday for hysteroscopy - not looking forward to that! I have thickened womb lining and possible polyp. Yes I am worried but my GP and the nurse I spoke to today have said it is so common when on HRT. I’m trying to remain positive - it’s hard. Support here has been amazing so hand in there. It’s important to get checked out

[Hurdity]

Hi Greenfields

Sorry to hear about this. Yes it is worrying but as the others have said, the doctors are doing the right thing in referring you immediately to see what's going on. It is very unlikely that the bleed is due to a natural ovulation at 59 but it cannot be ruled out - there wil be a few outliers of very late menopause. However you will know from what your periods were doing before you started HRT whether this is possible.

When you took oestrogel and utrogestan before - was this continuously or cyclical utrogestan?  What dose of each did you take? Did you have periods with this regime? Also when you used Evorel 50 did you carry on taking the utrogestan? I'm interested that this gave you heavy periods and wondering why?

Hope you don't mind the questions but it help to build up a picture of what could be going on - though obviously only the scan and other investigations will determine that.

Please try not to worry even though this is understandable and try to focus on something else over these next two weeks to take your mind off it.

Hurdity x

[CLKD]

Morning Hurdity - lots to catch up on here !

[Hurdity]

Morning CLKD! I'm not going to even try!

Hurdity x

[CLKD]

 

I knew my variable periods were 'the change' so I wasn't unduly worried.  Regular, then missed several etc..