Step 4: Read and complete the decision guide to learn more about your symptoms.
Bleeding Between Menstrual Periods
Bleeding changes are commonly the first symptom of menopause. However, since you are not having other common menopause symptoms, you should schedule a medical evaluation with your doctor so other explanations can be considered.
You will benefit from having a pap smear, if you have not recently had this test. Your doctor will also consider checking a blood test to check for a thyroid problem, or using an ultrasound to check for a new change on the cervix or in the uterus such as a fibroid tumor, a polyp, or cancer. A common cause of bleeding between periods for a woman your age is endometrial hyperplasia (excessive growth of the menstrual lining).
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