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I Am 48, And Had My Regular Period Then 16

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Posted on Mon, 5 Nov 2018
Question: I am 48, and had my regular period then 16 days later had a second period. I went to my gyno and she tried to do an endometrial biopsy which didn’t work as she said she could not get into my uterus and is now suggesting a hysteroscopy. This all seems excessive to me after just having erratic bleeding once and I am sure it is related to Perimenopause...what do you think and suggest I do. I want to cancel the hysteroscopy appt.
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Answered by Dr. Shanti Vennam (43 minutes later)
Brief Answer:
Please get a sonogram of the pelvis and hormone assay.

Detailed Answer:
Hello,

Thanks for letting us know your health concern.

It is true that during perimenopause, menstrual disturbances are common. However, proper evaluation is necessary.

If I were to treat you, in the current scenario, I would ask for a sonogram of the pelvis, preferably in the trans-vaginal route and a complete hormone assay before going for more invasive procedures.

Having done the investigations, it becomes easier to decide on the need for an endometrial biopsy. It is true that hysteroscopy, in experienced hands, is a better alternative than blind probing done in an ordinary dilatation and curettage. Yet, preliminary investigations as mentioned are necessary to plan proper management.

Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Shanti Vennam

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Practicing since :1989

Answered : 7667 Questions

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I Am 48, And Had My Regular Period Then 16

Brief Answer: Please get a sonogram of the pelvis and hormone assay. Detailed Answer: Hello, Thanks for letting us know your health concern. It is true that during perimenopause, menstrual disturbances are common. However, proper evaluation is necessary. If I were to treat you, in the current scenario, I would ask for a sonogram of the pelvis, preferably in the trans-vaginal route and a complete hormone assay before going for more invasive procedures. Having done the investigations, it becomes easier to decide on the need for an endometrial biopsy. It is true that hysteroscopy, in experienced hands, is a better alternative than blind probing done in an ordinary dilatation and curettage. Yet, preliminary investigations as mentioned are necessary to plan proper management. Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help. regards, Shanti.V.