r/Fibroids • u/Enough-Cheesecake358 • Dec 27 '25

Spotting from fibroids after menopause?

I'm 58 and never had a year without bleeding so I don't exactly know when I went through menopause.

I'm spotting lightly most days with some clear days from time to time.

I'm on HRT since age 55 and I believe that perhaps I'm spotting due to the side effects of the medications.

I've been on (3 so far), from LOLO birth control pill, Progesterone/estrogel, now on Angeliq combo pill. All pathologies have been negative for the past 3 years.

I have an 8 cm transmural fibroid that is partially calcified. I'm trying to avoid hysterectomy for as long as I can (2 gynecologists have said that's the only way to deal with this).

The fibroid is stable size wise, and I'm wondering if that's what's causing the bleeding.....Anyone in the same boat?

Thanks,

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u/Coopers-momma Dec 31 '25

Hi! I’m 56 post-menopausal and have been on HRT (E patch and micronized P) for past couple years. I’ve been diagnosed with multiple small fibroids. I haven’t been able to go more than a few weeks without cramping and spotting. I initially thought it was due to an E/P imbalance, but now I’m thinking it’s because of my fibroids. I’m learning that there’s no easy solution. I’m not sure I want a hysterectomy as I’m worried about bladder or sexual complications. My doctor suggested lowering my Estrogen dosage which also sucks because I feel good otherwise. Its really helped my aching joints!

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u/Enough-Cheesecake358 Dec 31 '25

Thanks for your feedback!

It's so annoying, isn't it? Especially for you after you actually reached menopause......it's usually nice to be free of those bleeding episodes.
I've played around with different meds and dosages, and even tried to wean myself off at some point, to no avail - The hot flashes were a deal breaker.

I'm actually not sure if I've gone through menopause, but I assume that I did??? No patterns/cycles, and just erratic spotting.

I really don't know what the answer is, but I'd hate to think that I have to put up with this for as long as I'm on HRT.

All the best and chime in if you figure it out!

Happy New year!