Unexplained Vaginal Bleeding: What Women Over 40 Should Know - Obstetrics and Gynecology

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Vaginal bleeding daily that is not menstrual?


I am 40 years old, and I have been experiencing vaginal bleeding for several weeks now.
It started as a small amount of brown discharge, but now it feels like the volume has increased.
I also had sexual intercourse about a week ago.
Should I be concerned about this?

A-Hsuan, 40~49 year old female. Ask Date: 2015/09/10

Dr. Lin Manying reply Obstetrics and Gynecology


Hello: Due to the inability to confirm your menstrual cycle and physiological condition, it is recommended that you visit a hospital for further examination by a physician.
Thank you.

Reply Date: 2015/09/10

More Info


Unexplained vaginal bleeding in women over 40 can be concerning and warrants careful evaluation. At this age, women are often approaching perimenopause, a transitional phase leading to menopause, which can cause hormonal fluctuations and irregular bleeding patterns. However, any instance of unexplained vaginal bleeding should be taken seriously, as it can sometimes indicate underlying health issues that need to be addressed.

Firstly, it is essential to understand that vaginal bleeding outside of a regular menstrual cycle can have various causes. In your case, the bleeding has progressed from light brown spotting to what feels like a heavier flow. This change in bleeding pattern, especially if it is persistent, should not be ignored. Common causes of abnormal vaginal bleeding include hormonal imbalances, uterine fibroids, polyps, endometrial hyperplasia, and in some cases, more serious conditions such as endometrial cancer.

Given your age and the nature of your symptoms, it is crucial to consult a healthcare provider for a thorough evaluation. A gynecological examination, including a pelvic exam and possibly a transvaginal ultrasound, can help assess the condition of your uterus and ovaries. Additionally, a Pap smear may be necessary to check for any cervical abnormalities, especially if you have not had one recently.

Hormonal changes during perimenopause can lead to irregular bleeding, and many women experience this as they approach menopause. However, if you have had recent sexual activity, it is also essential to consider sexually transmitted infections (STIs) or other infections that could cause bleeding and discomfort. Symptoms such as itching or pain in the vaginal area could indicate an infection, which should be evaluated by a healthcare professional.

In your case, since the bleeding has been ongoing for several weeks and has changed in character, it is advisable to seek medical attention promptly. Your healthcare provider may recommend blood tests to check hormone levels, and if necessary, a biopsy of the uterine lining to rule out any serious conditions.

In summary, while hormonal changes related to aging can cause abnormal bleeding, it is essential to rule out other potential causes. Do not hesitate to reach out to your healthcare provider to discuss your symptoms in detail. Early diagnosis and treatment are crucial for managing any underlying conditions effectively. Remember, your health is paramount, and addressing these symptoms with a professional is the best course of action.

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