Managing Irregular Periods and Skin Growths: A Guide for Seniors

Could you please provide more details or specify your question?

1.
In the past 2-3 years, my menstrual cycle has not been as regular as it used to be, occurring every 30-40 days.
Now, it comes approximately every 2-3 months.
I have seen a gynecologist who conducted blood tests for hormone levels, and the doctor informed me that my levels have not dropped below normal.
If my period does not return after 3 months, I may take Provera 5 mg.
Sometimes, after taking it, my period comes, but other times it comes without taking the medication.
I would like to ask if it is possible to not take hormonal medication if my period does not come.
Am I already in menopause? Currently, I do not have any uncomfortable symptoms.
Can I avoid taking medication?
2.
An elderly family member has recently noticed a small, painless, flesh-colored growth resembling a filiform type near the left groin area, about 1 cm in size.
However, the elderly person is reluctant to visit a dermatologist, insisting that this is a normal part of aging.
I would like to ask if this type of growth (tumor) needs to be addressed and whether it could be harmful to the body.
Sometimes I feel like I want to trim it, but I am afraid of causing a wound.
However, I cannot persuade them to see a doctor, and I am genuinely worried.
What should I do? I apologize for asking so many questions.
As I age, I tend to worry about health issues.
Thank you!

vivian244, 50~59 year old female. Ask Date: 2017/08/09

Dr. Chen Taicheng reply Family Medicine

● The average age for women to reach menopause is around 51 years, and in the years leading up to it, they may experience irregular menstruation and some may have menopausal symptoms.
Normal hormone levels indicate that menopause has not yet occurred; if there are no menopausal symptoms, medication may not be necessary.
However, it is important to monitor irregular menstruation for any other uterine or ovarian lesions, and a gynecological ultrasound examination may be warranted.

● For small growths in the groin area, it is essential to have them evaluated by a healthcare professional.
Generally, if the growth has not changed in size or shape over a long period, the likelihood of it being benign is high.
Elderly individuals often have chronic conditions, so it is advisable to have a physician assess the situation, and if necessary, refer to a dermatologist or general surgeon for further management.
Avoid self-removal, as the characteristics of the tumor are unknown.
Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital, Department of Family Medicine, cares about you.

Reply Date: 2017/08/09

More Info

Managing irregular periods and skin growths can be a complex issue, especially for seniors. Let's break down your concerns into two main areas: menstrual irregularities and skin growths.

Irregular Periods
Firstly, regarding your menstrual cycle, it is not uncommon for women to experience changes in their menstrual patterns as they age, particularly as they approach menopause. The average age for menopause is around 51, but perimenopause, the transitional phase leading up to menopause, can begin several years earlier. During this time, hormonal fluctuations can cause irregular periods, which may become more spaced out, as you have described—sometimes occurring every 2-3 months.

You mentioned that you have seen a gynecologist and had hormone levels tested, which is a good step. If your hormone levels are still within the normal range, it suggests that you may not be in menopause yet, but rather in the perimenopausal stage. It is important to note that not all women experience significant discomfort during this transition, and some may not require hormone therapy.

If you choose not to take hormonal medications like Provera, it is generally acceptable, especially if you are not experiencing bothersome symptoms such as heavy bleeding, severe cramps, or significant mood changes. However, it is crucial to monitor your health closely. If your periods become excessively irregular or if you experience any unusual symptoms, it would be wise to consult your healthcare provider again.

Skin Growths
Now, regarding the small skin growth you mentioned on your elderly relative, it sounds like it could be a skin tag or a seborrheic keratosis, both of which are common in older adults. These growths are usually benign and do not pose any health risks. However, it is essential to differentiate between benign growths and potentially harmful ones, such as melanoma or other skin cancers.

If the growth is painless, does not change in size or color, and does not bleed, it is likely harmless. However, if there are any changes in appearance, or if it becomes painful or irritated, it would be advisable to seek medical attention. While your relative may be resistant to visiting a dermatologist, it is important to emphasize the value of professional evaluation, especially given their age and the potential for skin changes.

In terms of managing the growth at home, it is generally not advisable to attempt to cut or remove it yourself. This can lead to infection, scarring, or other complications. Instead, encourage your relative to consider a consultation with a dermatologist, who can provide a proper diagnosis and discuss removal options if necessary.

Conclusion
In summary, both irregular periods and skin growths are common concerns as we age. For irregular periods, it is essential to monitor symptoms and consult with a healthcare provider if changes occur. For skin growths, professional evaluation is recommended to ensure they are benign and to discuss any potential treatment options. Encourage open communication with your healthcare providers and advocate for regular check-ups, as early detection and management of any health issues are crucial for maintaining overall well-being in seniors.

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