Off Topic
User Topic: post menopausal bleeding
Member # 25041
Default  Posted: 4:02 PM, September 27th (Friday)

I'm new to my area so I don't have much of a history with this gynecologist.
Dr recommends a D and C because of thickened uterine wall. Is this just what is done? Any thoughts appreciated.

Posts: 1175 | Registered: Aug 2009
Member # 31528
Default  Posted: 4:33 PM, September 27th (Friday)

I'm sorry, but I don't have advice. Sending you mojo and good thoughts.

Posts: 36058 | Registered: Mar 2011
Member # 25041
Default  Posted: 5:58 PM, September 27th (Friday)

Thanks. D and C sounds so barbaric.

Posts: 1175 | Registered: Aug 2009
Member # 13813
Default  Posted: 7:12 PM, September 27th (Friday)

Are you on any medication that could increase the thickness of the uterine walls? Make sure your doctor knows about all your meds.

My mom had a couple of D&C's many years ago, though I don't recall the reasons. It was no big deal to her, just a small amount of cramping afterwards.


Married 18 yrs, together 25+.
D-day: 2/18/07.
1 child
The story doesn't really matter anymore. Time is a great healer. Life is good.

Posts: 2432 | Registered: Mar 2007
Member # 37735
Default  Posted: 7:21 PM, September 27th (Friday)

Have you had a pelvic sono?
You could have an endometrial biopsy first, before having a D & C.

together 25 yrs, married 24 yrs, 4 children;Rebuilding
D Day: 5/10/2011 PA
OW: WH's co-worker,divorced, no children, 20 yrs younger than I-----& she knew he was married, had met our kids, but that did not stop her from trying to destroy our family

Posts: 1403 | Registered: Dec 2012
Member # 25041
Default  Posted: 9:25 PM, September 27th (Friday)

Yes i had the sonogram. Dr gave me the option of the biopsy yet recommended the D and C .
I guess I was hoping this was fairly common yet nobody I know talks about it...I don't either that's why I'm here on an anonymous forum.

Posts: 1175 | Registered: Aug 2009
Member # 34262
Default  Posted: 10:12 PM, September 27th (Friday)

Doing the D&C will get ALL the tissue instead of just some with a biopsy. Just make sure he sends the tissue to path.

Me: BS 45
Her: fWS 48 (same sex partner)
Together: 18 years now (both MDs)
OW: meh so what 40s PhD
DD1: 10/30/11EA; DD2: 11/10/11 Had ONS; TT until 12/26/11; broke NC 6/12; NC again 7/12; R-ish

Posts: 2263 | Registered: Dec 2011 | From: Great Southwest
Member # 25041
Default  Posted: 11:45 AM, September 28th (Saturday)

Thanks pj. Yes that's the plan..all the tissue and pathology report.

Posts: 1175 | Registered: Aug 2009
Member # 19946
Default  Posted: 1:00 PM, September 28th (Saturday)

I had a D & C but I wish I hadn't bothered. I felt exhausted for a month afterwards because of the effects of the anesthesia. I get wiped out every time I go under general anesthesia. This doesn't happen for everyone I know but it does for me. The fatigue made me feel depressed too.

What is making the lining thicken? If you scrape it out won't it just grow back if the underlying issue isn't addressed?

Is there a lot of post meno bleeding? It's not unusual to spot or have semi mini 'periods' after menopause. Is there a less invasive way to check for pathology? D&C for post meno bleeding seems over medicalizing what is in most cases a normal occurrence.

Every time you go under general anesthesia it kills off brain cells so its wise to do it as little as possible. We need our brain cells post meno especially!

Acupuncturists and Naturopaths have so many less invasive approaches that a regular MD just doesn't know about. This may be a good time to expand your team of health care practitioners to get access to other approaches that are very effective.

BS, age 53, d-day 6-2-08, divorced after 17 years and 20 together. Now I am living alone in the beautiful rural property that was once the dream retreat with X. It's taking a long time to create new dreams but despite some struggles I am mostly happy.

Posts: 5872 | Registered: Jun 2008 | From: Rural California
Member # 27035
Default  Posted: 9:33 PM, September 28th (Saturday)

I think a second opinion from another gynecologist would be a good idea. You aren't comfortable with this option so it makes sense to talk to another doctor for your peace of mind.

"On particularly rough days when I'm sure I can't possibly endure, I like to remind myself that my track record for getting through bad days so far is 100% and that's pretty good."

Posts: 5329 | Registered: Jan 2010 | From: Midwest
Member # 36445
Default  Posted: 7:48 AM, September 29th (Sunday)

My mum had the same issue. She also had a D & C, it seemed to fix the problem.

Hope that helps. Goodluck.

"Loving someone should not mean losing you. Love empowers you. It shouldn't erase you. - Thelma Davis.

Posts: 1363 | Registered: Aug 2012 | From: Australia
Member # 21101
Default  Posted: 4:00 PM, September 29th (Sunday)

First off no am8unt of bleeding is normal after menopause.
A D&C is the next step to determine cause. Sometimes its enough to stop it sometimes not. I had one no biggy didn't have general anesthetic, just sedation you know lala land like a colonoscopy, easy shmeezie.

It is very important to figure out what's going on, so that you stay healthy. May resukt in a definitive diagnosis and treatment. Some conditions, cause bleeding until the uterus is removed, others not. But I know for a fact that abnormal bleeding is annoying and worrisome.
Get some answers.

Him: FWS
Kids: 15 & 17
Married for 22 years now, was 16 at the time. .
D-Day Sept 26 2008
Fully R'd, and Happy Happy Happy

Posts: 8744 | Registered: Oct 2008 | From: St. Louis
Member # 25041
Default  Posted: 5:54 PM, September 29th (Sunday)

Thanks all. I appreciate the feedback.

I'm planning to having a D and C with pathology this week.

Posts: 1175 | Registered: Aug 2009
solus sto
Member # 30989
Default  Posted: 6:40 PM, September 29th (Sunday)

Yes, a D&C is one of the the least invasive ways to assess what is going on. And post-menopausal bleeding really does need to be investigated.

It has the advantage, over biopsy, of removing the entire uterine lining.

(In the past, they'd leap to partial or even complete hysterectomy, and still do in some parts of the country; D&C is a relatively conservative approach.)

Good luck!

BS-me, 52
WH (Trac-fone), 53, PD
2 kids-DD25, DS18
multiple d-days
Alone, most strangely, I live on~Rupert Brooke

Posts: 8889 | Registered: Jan 2011 | From: midwest
Topic Posts: 14