Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Spinifex on May 04, 2018, 04:47:17 PM

Title: Postmenopausal bleeding, complex hyperplasia w/atypia, hysterectomy scheduled
Post by: Spinifex on May 04, 2018, 04:47:17 PM
Hello! I am new here--not surprisingly, I found this site as I googled madly to find out  more about postmenopausal bleeding and of course, like everyone else, have myself scared silly that it's going to be terrible news for me. So, trying to bear up and attend to normal job, life, etc. responsibilities. I have read just about every post that exists to date on this site when others have shared this condition, so that's been a comfort.

 Just always keen to hear about experiences (btw, I am age 57, about 7  years postmenopausal). My saga started about four weeks ago--the odd small random fragment of pinkish fluff in loo, the occasional pink blush on TP...I thought it had to do with possible yeast infection. After two weeks, made an appointment with the doctor, who couldn't see me til two weeks later. Saw her Tuesday (oddly enough, the day before turned into something like a light period, with a few "red blobs" in loo). Exam showed bleeding from cervix and she says therefore it's inside uterus, whatever "it" turns out to be. Since then, less shedding...as I wait for Tuesday...but yesterday started getting sharp stabby here-and-gone zaps of pain on lower right side (kind of like where I recall mittelschmerz happening).

Nurse on phone quizzed me, was very kind, couldn't explain it, gave advice for when to call/come in/go to ER. not nearly at that level yet. I keep fluctuating between thinking "good, there's  a pain, maybe a harmless cyst" and "oh  no, now it's even more sinister, must be ovarian cancer." Anyone have this particular set of symptoms before going in for ultrasound and getting actual facts to sort it out? Thanks.
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Lanzalover on May 04, 2018, 05:00:43 PM
Hi Spinifex

 :welcomemm:
Unfortunately I don't have any advice/experience of this matter but didn't want to just read your post and run.


I am sure someone will be along to offer some advice but in the meantime try not to worry I know that's easier said than done.


 :foryou:


Lanzalover x
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Dancinggirl on May 04, 2018, 06:37:37 PM
Hi and welcome Spinifix
The GP should have referred you for a scan - have they done this? Any post menopause bleeding should be investigated. Are you on any HRT?  I wouldn't be too alarmed - this can happen but it's best to get the reassurance from a proper investigation.  Let us know how you get on.  DG x
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Taz2 on May 04, 2018, 06:45:41 PM
Hi Spinifix - welcome from me also.

Dancinggirl is right in that you must be referred for a scan just to check out what is happening. Are you in the UK?

You'll get lots of help and friendship on here so please let us know how you get on.

Taz x  :welcomemm:
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Spinifex on May 04, 2018, 07:24:33 PM
Hello!

Yes, I'm scheduled for a scan this upcoming Tuesday, sorry if that wasn't clear.

I'm in the USA. (But have an English hubby :)

Nope, never been on HRT.

This site is great because all the websites just scare the bejesus out of you.
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Taz2 on May 04, 2018, 08:21:49 PM
It's good to know that you are being given a scan to check what's going on. There are different causes for post menopausal bleeding but, of course, we automatically latch on to the worst one. This forum is invaluable - I'm so glad you've found us!

Taz x  :)
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Spinifex on May 09, 2018, 12:58:40 AM
Well, had the scan today, doctor called back and thickness of endometrium is 9.8 mm intermixed with areas of polyps. I am scared to death. Being sent for biopsy next. I keep feeling as if the percentages are closing down further and further. And with my daughter getting married in 3 months time, the timing of all this is horrible...
Title: Re: Postmenopausal bleeding and stabby pains
Post by: matildamouse on May 09, 2018, 03:10:52 AM
Wishing you best of luck and hopefully it is just something minor to sort and you can look forward to the wedding.xx
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Spinifex on May 09, 2018, 04:56:58 AM
Thanks, that's kind of you  :) the lab report says something about intracystic which googling tells me very little about, except in dogs snd horses!
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Dancinggirl on May 09, 2018, 06:29:51 AM
Spinifex
It's good you are getting everything checked. Polyps are very common and are not usually ominous. Do let us know how you get on. DG x
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Spinifex on May 09, 2018, 01:28:46 PM
Yeah, it's weird, the report says  no polyps but talks about intracystic. I know what cysts are and that they too can be benign or sinister, but can't tell if they're the same thing as polyps (esp as report says no polyps...but maybe they mean none of the dangly types!). Because my GP on the phone talked about polyps and off the top of her head said something about polyps increasing the chance of it being cancer by 50 to 60 percent, which doesn't sound like anything I've read and then she wasn't able to find the statistic online in her doctor database...so, confusing.

Everything's confusing right now  :-\ Thanks for the support! I can't talk to anybody but my husband in real life now, because I don't want to get everybody alarmed until I know what I'm dealing with. This is a comfort.
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Hurdity on May 09, 2018, 08:01:33 PM
Hi Spinifex - sorry to hear you've been given a bit of a confusing and ambiguous diagnosis - and hopefully all will become clear after your biopsy. Try not to worry in the meantime but I know that's easier said than done - I would be the same as you, imagining the worst (despite being normally glass half-full!). Wishing you all the best...

Hurdity x
Title: Re: Postmenopausal bleeding and stabby pains
Post by: Spinifex on May 09, 2018, 08:06:51 PM
thanks  :) yes, it is confusing, and waiting for the darn ob/gyn to even call me back and make the appointment is not helping  >:( I know, like you I'm generally a pretty happy-go-lucky person, and it's quite tiresome to have to be in the dumps!
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Spinifex on May 10, 2018, 07:42:06 PM
Hello, me again! Have an appointment tomorrow morning for biopsy. A question: My doctor (a kind and wonderful woman) scared the crap out of me on the phone the other day because when she relayed the news of my 9.8 mm lining "with intracystic spaces" (but lower down it says no polyps) she said that "because of the polyps" there was a 50-60 percent chance of it being cancerous. Then she could not find the citation she had once read about that.

I have tried not to google lately because it is scary. However, I dared to poke around a bit this morning, and found a radiology report that mentioned hyperplasia with cystic spaces, and it seemed to link that to possible "sessile" (meaning no stalk) polyps. That sounded rather more encouraging (as polyps could cause hyperplasia). And even though I'm trying to boost my confidence, and so would be predisposed to look for Good News, I know I've never yet come across anything saying anything about a 50 to 60 percent greater chance of something sinister.

Wondered if anyone had any thoughts on that.

Also, does it matter at all if all my bleeding has stopped? I mean, that's rather nice, but I guess it doesn't matter how much or  how little or how often...even a spot or two means 'get thee to the doctor" if you're postmenopausal.

(Promise I'll come back and help others in future, sorry that this is all me me me right now  ;D
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Hurdity on May 11, 2018, 07:01:26 PM
Hope your biopsy went well - do let us know the outcome....

Hurdity x
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Spinifex on May 12, 2018, 03:25:00 AM
Won't hear anything til midweek next week; but now if anybody out there wants to know how the biopsy thing goes for endometrial sample collecting, I can provide information!

The doctor's manner and bearing, her very practical and straightforward way of being made me feel confident no matter what the results may be--felt as if I were in good hands.
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Cassie on May 12, 2018, 07:40:04 AM
Did you have sedation for the biopsy?
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Spinifex on May 12, 2018, 02:20:28 PM
No, they used a localized numbing cream of some sort that included novacain and one other substance. I'm sure I'm spelling novacain wrong but it beats my phone's absurd suggestions :) it definitely helped. The only sensations were the usual discomfort of speculum, a slight pinprick sort of feeling when device went thru cervix, and the actual collection of material (which dr said might induce crampy feeling) was not painful at all. She did the procedure 3 times.

Afterward I'd suggest taking Dr's advice and putting feet up and relaxing!  I felt rather sore and tired the rest of say so was glad to do just that. Today I feel pretty good and am even going to a conference locally, though I'll choose not to walk too too much.
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Mojo61 on May 28, 2018, 07:11:48 PM
Hi Spinifex,

What was the outcome of your biopsy?
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Spinifex on May 28, 2018, 08:23:34 PM
Hello! Thanks for asking, i've been preoccupied so haven't checked online much. It was complex hyperplasia with atypia. So I will have a hysterectomy mid-June. It is scary to contemplate surgery, but my biggest fear is their finding cancer. I am clinging to the surgeon's comment that she doesnt' expect to find any. (She is a leader in the field of gynecological oncology, so I dare to think she wouldn't toss off a comment like that uber-casually. Fingers crossed.)
 
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Dancinggirl on May 29, 2018, 08:03:29 AM
Keep us posted. Hope things go well.  DG x
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Mojo61 on May 29, 2018, 09:19:34 AM
Thank you for the update. I'm sure all will be well x
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Hurdity on May 29, 2018, 09:38:21 AM
Hi Spinifex - sorry to hear about this but I am presuming that if they have found complex hyperplasia with atypia - that they haven't found cancer - this is one of the last stages that can lead to cancer I understand? Or maybe because the biposy was from one place, are you (or they?) saying there could still be cancer?

I know it is a scary time but do remember that even if endometrial cancer is found, if caught very early is one of the most successful cancers to treat - a friend of mine had it recently, had a hysterectomy and didn't need any radiation or chemotherpay as it was just confined to the womb. This is why abnormal bleeding is checked becase early detection nakes it so successful in treating the disease.

All the best for your operation and try to find something to do to take your mind of things while you are waiting for the operation. Let us know how it goes...

Hurdity x
Title: Re: Postmenopausal bleeding and sessile polyps?
Post by: Spinifex on May 29, 2018, 01:22:36 PM
Thanks! Yes, correct, they did not find cancer. They told me that of course they can't say 100 percent I may not have it, as things can be found during surgery, but they took 3 samples from 3 different locations in the uterus, so they did get a good set of samples for the biopsy. It's just that unlike when they take your appendix out, and you're just concerned about dealing with surgery, you have to think about this added concern about finding something else...ugh!

I am keeping very busy indeed, doing all the intensive sort of labor I shan't be able to do for ages after surgery...cleaned out a drainage ditch this weekend and dug and weeded and planted, and pulled apart everything in the refrigerator to clean the drawers and shelves...wow, one really does use one's abdominal muscles extensively in daily life  :D It felt good to feel strong.
Title: Re: Postmenopausal bleeding, complex hyperplasia w/atypia, hysterectomy scheduled
Post by: Lisa1966 on May 29, 2018, 05:37:17 PM
Hi spinifex,I hope all goes well with ur op,try not to worry and take care of yourself. Keep us posted

          Lisa x