Endometrial Changes and Menopause at 57: Key Insights

Endometrial disorders

Currently 57 years old, had menstruation last year, but not every month.
On May 23 of this year, menstruation occurred again for about 5 days.
The doctor performed an abdominal ultrasound, and the endometrial thickness was normal...
There are small cysts on the ovaries: to be monitored.
I would like to ask: 1) Is it abnormal to still have menstruation at this age? Can someone reach menopause at 60 years old? 2) Since there is no sexual experience, what would be the best way to check for endometrial cancer?

aa, 50~59 year old female. Ask Date: 2019/06/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you are likely in the menopausal stage.
The endometrial thickness is normal, so please follow your doctor's instructions and do not worry.
Wishing you good health.

Reply Date: 2019/06/10

More Info

At the age of 57, experiencing changes in menstrual cycles can be a common occurrence as women approach menopause. Let's address your questions regarding menstruation and the evaluation of endometrial health.

1. Is it abnormal to still have periods at this age? Can menopause occur as late as 60?
It is not unusual for women in their late 50s to experience irregular menstrual cycles. The average age for menopause, defined as the cessation of menstrual periods for 12 consecutive months, is around 51 years, but it can vary significantly among individuals. Some women may continue to have menstrual cycles into their late 50s or even early 60s. Factors such as genetics, overall health, and lifestyle can influence the timing of menopause. Therefore, having periods at 57, especially if they are irregular, is not inherently abnormal. However, if you experience significant changes in your menstrual cycle, such as heavier bleeding or prolonged periods, it is advisable to consult with a healthcare provider.

2. How should one check for endometrial cancer, especially with no sexual experience?
To evaluate for endometrial cancer, especially in the context of irregular bleeding, a healthcare provider may recommend several diagnostic procedures. The most common initial test is a transvaginal ultrasound, which can assess the thickness of the endometrium (the lining of the uterus). A normal endometrial thickness in postmenopausal women is generally considered to be less than 4 mm. If the endometrial lining appears thickened or if there are other concerning findings, further evaluation may be warranted.

Another important diagnostic tool is an endometrial biopsy. This procedure involves taking a small sample of the endometrial tissue to be examined for abnormal cells. It can be performed in a doctor's office and does not necessarily require sexual experience. If you are concerned about discomfort or anxiety related to the procedure, discussing these feelings with your healthcare provider can help them tailor the approach to your needs, ensuring you feel as comfortable as possible.

In some cases, if there are significant concerns or if the biopsy results are inconclusive, a hysteroscopy may be performed. This procedure allows the doctor to directly visualize the inside of the uterus using a thin, lighted tube. It can also facilitate the removal of any abnormal tissue for further analysis.

In summary, while it is not unusual to still experience menstrual cycles at 57, it is essential to monitor any changes closely. If you have concerns about endometrial cancer, a combination of ultrasound and biopsy can provide valuable insights into your endometrial health. Always feel free to discuss your concerns and preferences with your healthcare provider to ensure that you receive the most appropriate and comfortable care tailored to your situation.

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