Hi, I am 61 and have been on HRT for 18 years.

I am currently on low does activella.

The only problem I have ever had is fibroids and vaginal atrophy, which sometimes cause bleeding after sex.

I always get this checked out and have a yearly medical and smear test here in Spain where I now live.

However, this last time I had a vaginaly ultrasound.  This showed everyting was normal, my ovaries were fine, my uterus was less than 5mm, but again I had some fibroids.

The Sanish gynae was very against HRT and suggest ed to be safe I had a biopsy.  So I agreed there and then.

The biopsy came back no cancerous cells found  But in the report it said there was scant material in the sample.

So my gynae said I should come straigh tof HRT or have a hysteroscopy to be absolutley sure there weas nothing else wrong.  

Since my biopsy I have bled, albeit only slightly, most days at least once when wiping.

My head is now completely messed up and I seriously don't know what to do.

Please, any advice would be most welcome.

I am extremeley active, healthy, and not over weight. 

Thank you

Lorraine