Menopause and Cervical Polyps: What You Need to Know

Menopause Cervical Polyp

During the Pap smear, polyps were found, which are benign.
Is it true that my constitution makes me prone to having polyps? I did not have my period in July 2023, and in March 2024, I experienced bleeding that was only noticed during wiping, and it did not even stain my underwear for several days, which is significantly different from my normal menstrual flow.
The doctor mentioned that menopause is considered after not having a period for one year, and if there is any bleeding afterward, I should see a doctor promptly.
Should I start counting from July 2023 or March 2024? Thank you, the doctor also mentioned that my blood test results indicate that I am entering menopause.

Jia You, 50~59 year old female. Ask Date: 2024/03/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the amount of bleeding cannot be used to determine whether it is menstruation.
The causes of bleeding in women may also include hormonal imbalances, emotional factors, diet, age, and more.
However, the most important thing is to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions.
If the bleeding persists, it is advisable to consult a physician for further evaluation.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/03/28

More Info

Understanding menopause and cervical polyps is crucial for women's health, especially as they navigate changes in their reproductive system. Based on your situation, it seems you have encountered some common concerns related to menopause and the presence of cervical polyps.

Firstly, let's address the issue of cervical polyps. Cervical polyps are typically benign growths on the cervix, and they can occur due to various factors, including hormonal changes, chronic inflammation, or irritation. It's not uncommon for women, particularly those in their 40s and 50s, to develop polyps as they approach menopause. The hormonal fluctuations during this time can lead to changes in the cervical tissue, making it more susceptible to polyp formation. If your doctor has confirmed that the polyp is benign, this is reassuring, but regular monitoring is still advisable.

Regarding your menstrual cycle and the onset of menopause, it's important to clarify how to calculate the beginning of menopause. Menopause is officially diagnosed after a woman has gone 12 consecutive months without a menstrual period. In your case, since you mentioned that your last menstrual period was in July 2023 and you experienced some light bleeding in March 2024, it is essential to consider the July date as the start of your menopausal transition. The bleeding you experienced in March could be a result of hormonal changes associated with perimenopause, which is the transitional phase leading up to menopause.
During perimenopause, women may experience irregular periods, changes in flow, and even unexpected bleeding. This is due to fluctuating hormone levels, particularly estrogen and progesterone. It is crucial to monitor any unusual bleeding, especially if it differs significantly from your normal menstrual flow, as it can sometimes indicate other underlying issues that may require further investigation.

You mentioned that your doctor conducted blood tests indicating that you are entering menopause. This is typically assessed through hormone levels, including follicle-stimulating hormone (FSH) and estrogen levels. Elevated FSH levels often indicate that the ovaries are producing less estrogen, which is a sign of approaching menopause.

In summary, your experience with cervical polyps and the changes in your menstrual cycle are not uncommon as you transition into menopause. It’s essential to maintain regular check-ups with your healthcare provider, especially if you notice any changes in your bleeding patterns or experience new symptoms. Your doctor can provide guidance on managing symptoms associated with menopause and monitor any cervical changes to ensure your ongoing health.

If you have further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice and support. They can help you navigate this transition and ensure that you remain healthy and informed throughout the process.

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