Post Menopausal bleeding after change of HRT

Hi all, thankyou for sharing all your experiences...well here goes, it's now my turn...

I'm 59, been on HRT since 2013 and changed to Body identical HRT in 2019. Before we go any further, I suffer with health anxiety, which I normally have under control until I am re triggered by any symptoms. 

Anyway, I saw my GP a month ago and was advised to increase my Utrogestan from 100mg to 200mg as I was on 4 pumps of oestrogel.  I asked if I could go onto patches which I have tried before GP agreed. 

Last Wednesday folleing a lovely long walk with my husband, on return I was greeted by scanty brown watery discharge in the pants, like the beginning or end of a period.  Naturally my health anxiety rocketed and I got a GP out of hours advice...she arranged next day with my normal GP appointment.  Next day, GP took a swab. This has come back normal as of yesterday.  GP tried to refer me to Gynae but the referral was rejected I was told I must stop my HRT for 6 weeks before going on the 2 week wait urgent referral.

GP has contacted Gynaecologist and I emailed a complaint into the complaints dept and now it seems a conversation is occurring between hospital and GP. 

In the meantime I have arranged an Ultrasound privately as my last one was November where my endometrium was 3.6mm, some fibroids seen, (noted years ago).  All else was normal.

But I was never told to stop my HRT for that Ultrasound or any other one...so I'm naturally very cross about this, not only for me but other patients too. 

The brown watery discharge with dark stringy mucousy has continued daily (sorry if this is TMI!!). 

Dr's hypothesis still continues to wager the HRT change rather than a pathology at this stage. Health anxious  hypothesis all else. 

Any rate, I have been offered another US with the private menopause specialist clinic.  

It's just all this waiting sucks.  

If any of you are still with me, I would appreciate your support, words, and anything to help me on my journey.  Naturally I will update you as I get more information so I can be of help to any of you that are in a similar boat. 

Thank you for reading my story so far.

  • Hello Scarycat59

    I'm sorry to hear about the ongoing health concerns that you've had and the difficulties in communication between your GP and the hospital which have led to some confusion and delays. It's understandable that you're feeling anxious about things. 

    We know that for many people this period of waiting and uncertainty can be difficult. It sounds like your GP is quite supportive in trying to get some answers and to offer some reassurance in the meantime. If you'd like to talk things though with one of our nurses you're welcome to give them a call. I know they will be happy to offer any support and advice they can. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    I do hope that the appointments you have arranged bring some news soon. Keep in touch and let us know how you get on. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

  • Hi, did you get this sorted? Sadly, ( well for me too) it seems like a battle and it is difficult enough for us at a time like this. I am 51, was on HRt from May 2024 - in November I started to bleed a lot - heavy bleeding - and then pain - I went to the Drs 2 weeks after it began - she used a speculum to look and arranged blood tests for the next day and arranged for me to see a gynaecologist at the hospital the following day. She noted that she saw blood on my cervix when she examined me in the letter to the hospital ( I peeked) the dr I saw was awful and that’s another story but messed up the biopsy he took and told me to come off HRT whilst we waited for the results. I had a sonogram a week later and that showed enlarged uterus at 10mm wall. I had to wait 3 weeks for results, as expected they came back void ‘no endometrial cells present’ I then went for a hysteroscopy at another hospital and they took a biopsy of my uterus and she said ( she was a specialist associate not a gynaecologist) that my uterus looked normal and that 10mm is normal ( that is not the case in everything that I have read from top research institutes etx) - that was the 13/12 she also told me to take her again but with no breaks- around a week or so ago I received the results - they came back clear - but the thing is on anc off I was and am bleeding for that whole time. When I spoke to a GP over the phone she said that she doesn’t really know about it all but the specialist believes it is hormonal and that is that. No further tests. But the bleeding and cramps during and following the routine smear - I just have a worrying feeling that they have missed something. I don’t know why they immediately thought of uterine cancer and concentrated on that - then when all clear for that went straight to ‘Tair 6 months of HRT’ and we will then look at it again. My fear is now - could they have missed cervical cancer - apparently most cancers including early stage cervical cannot be seen with the human eye - they need a microscope through colposcopy - so it could actually be the cervix bleeding thus whole time… sorry .. I have gone on a lot on your post - I can’t bear another interrogation or battle or run of tests again - but know in my heart that I need to as it doesn’t seem right at all. I really hope that you get it sorted and that everything is ok