Premenopausal before BC Tamoxifen Bleeding

Hi profbee,

I was dx'd in Nov. 2010 at the age of 45.  Even though I was premenopausal I hadn't had bleeding in years due to an endometrial ablation, but I had regular bloating and clear discharge on a monthly basis. I definitely went into chemopause during treatment.

Fast forward to earlier this year. I started having strange fluctuations in my weight and having clear discharge again. Then had three episodes of spot bleeding after having fun with DH in a two week span. Went to see OB/GYN. Decided to wait and watch. Happened again. OB/GYN suggested an Hysteroscopy with D&C to make sure all was OK.  Everything came back benign.  Since the procedure I have had not further spotting, but continue to have those fluctuations and clear discharge on fairly regular basis.  My OB/GYN said that the procedure could have cleared up whatever was causing the bleeding or whatever was irritated cleared up on its own, don't really know.

Both my OB/GYN and Oncologist aren't quite sure if my ovaries are waking up a bit before shutting down for menapause or what since I am 49 now. It is a mystery and the blood tests to check estrogen can be inaccurate while on Tamoxifen.  So I am doing the wait and watch and both my doctors are monitoring the situation. If I have any spot bleeding again I am to contact both of them right away.

You are younger than me and my oncologist has always told me that some women in their 40's whose ovaries are shut down due to chemo can have them wake up again 3-5 years later before going into menopause and that is why she wanted me on Tamoxifen instead of an AI.

I believe it is a really good idea to have the procedures suggested by your doctor. 

Best wishes.

Hi, profbee.  I had some bleeding after intercourse that stopped within a few minutes.  Still the obgyn sent me for the whole shebang.  My uterus was thickened (I think 13), I had something on my ovary they were worried about.  I had a uterine biopsy and it was totally normal.  A few months later they repeated the ultrasound and the ovary was fine too.  So there's hope its not an indication of something bad.  They just can't tell because its so common to have uterine thickening so any bleeding they want to check out.  . 

I had issues before my breast cancer diagnosis.  I was premenopausal at diagnosis and was getting recurrent bleeding polyps.  Many sisters can have polyps and be asymptomatic....but not me!  When I began Tamoxifen and ovarian suppression, I still got bleeding polyps every few months and uterine thickening.  After two years of Tamoxifen, I was FINALLY postmenopausal.  Switched to AI, uterine thickening subsided....but I was STILL getting bleeding polyps every few months!  In March, I had a "well" check-up and had gone 8 full months without a bleeding polyp.  Before I could pat myself on the back, in June I had my 8th D&C in less than 5 years for another huge bleeding polyp.  This week, I finally stopped bleeding from the D & C.  I now have an appointment in August to discuss a hysterectomy.  Doctor said if I get another bloody polyp it will be time for a hysterectomy...absolutely no more D&C's for me!

Hope your journey is easier than mine!

prof....doctor told me I was an outlier!  And I wasn't just staining!  It was a bloody mess.  Said my uterus was angry!😨....Of course it was angry!  Wouldn't you be angry from all that poking around?????

Hope you can hang in there too and keep your wits about yourself! What a journey!