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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Vaginal Bleeding And Breast Tenderness While On HRT?

Hi, I started bleeding after my Dr. switched me from an estradiol to the estrogen patch (same dosage). I ve been in menopause for 24 years (started at age 31). I ve had a 4 week bout of bleeding, which she treated with halving the dosage of the estrogen patch and the progesterone, which stopped the bleeding for a month. The bleeding has returned, which she treated with doubling the progesterone. This was effective for a week. The bleeding has returned, with breast tenderness and cramps. Any suggestions? Should my Dr. be checking my hormone levels? She did an ultrasound and uterine biopsy and both were normal. Is the patch the best option? I m not thrilled with it. We switched because night sweats had returned on the Estradiol.
posted on Wed, 31 Jan 2018
Twitter Sat, 23 Jun 2018 Answered on
Twitter Tue, 26 Jun 2018 Last reviewed on
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.


* The vaginal bleed and breast tenderness are secondary to hormone imbalance from various reasons as stress, uterine pathology as endometrial hyperplasia or others.
* In our clinic, I recommend a hormone evaluation for further management guidelines.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Persistent Vaginal Bleeding And Breast Tenderness While On HRT?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The vaginal bleed and breast tenderness are secondary to hormone imbalance from various reasons as stress, uterine pathology as endometrial hyperplasia or others. * In our clinic, I recommend a hormone evaluation for further management guidelines. Hope I have answered your query. Let me know if I can assist you further.