Postmenopausal bleeding worry

In 2014 l had early stage bilateral breast cancer age 49 and l had the surgery/radiotherapy. I was then put on 20mg tamoxifen for 10 years which l completed November 2024.

I had a transvaginal ultrasound November 2024 which showed endometrial lining at 16mm and cervical smear test negative also ovaries normal for a woman of my age. 

There was no bleeding or any other issues apart from a small stable fibroid which has been there since 2009 

27 October 2025 l saw a litte spotting and by 29th a little bit more. I had another transvaginal ultrasound in the emergency department which showed it was still 16mm, so stable for 1 year. My ovaries were the same etc. A biopsy was tried but failed as l found it too painful. 

My CA 125 blood test has been in the normal range for the last 10 years 

I have regular 3 monthly CT scans with contrast for chest and abdomen (l had thymoma B2 diagnosed 2023 and surgery etc was completed) last CT scan was July 2025 and l have one due in November. All scans have been negative so far. 

I was also diagnosed palb2N in 2023

Getting back to my postmenopausal bleeding l would say is light and hardly anything on a  period towel. I do see blood when l wipe but not significant. Pain is very mild in abdomen and my lifestyle and sleeping pattern has not changed because of it. 

I saw my oncologist yesterday and she has wrote a letter to my gynacologist regarding the bleeding, biopsy issue and discussion of possible hysterectomy .

I see my gynacologist on 13th November to discuss the biopsy under sedation and possibly hysterectomy plus ovaries/fallopian tubes removal. (See past cancer history and genetic mutation) and l suffer from extreme anxiety (so peace of mind would be better for me in the long run)

I am very worried l have cancer again 

I am 61  5 foot 2 and 16 stone *so that might help you

I am doing everything right and in time as this worries so much

  • Hello, and thank you for posting.

    I am sorry you are worried about a second cancer, but at the moment, you do not necessarily have one.

    The doctors are working together to minimise your risk of a future diagnosis, and they see this surgery as helping that. By performing a prophylactic (risk-reducing) hysterectomy, they are preventing the thickened lining from becoming a potential problem in the future.

    Endometrial hyperplasia is another very common reason for post menopausal bleeding and a thickened lining, but only a biopsy can diagnose this. As a biopsy has been difficult for you, you have a known gene mutation and a medical history of breast cancer, your team feel this route of surgery gives you the best outcome.

    Take care, and I hope you get all the information you need. Before your appointment do write down any questions you have. If you want to talk to the nurses do call 0808 800 4040, lines open mon-fri, 9-5.

    Sarah.