Conversation: The conversation between human and AI assistant.
[|Human|] I am a 50, I have gone through Menopause. I have a history of having an Ovarian Cyst and have been treated for Polyps twice, I had 3 polyps removed in 2005. I seem to be having all the symptoms since last week of an Ovarian cyst, I am having some spotting and bleeding when I go to the bathroom. I no longer have a regular Dr. and not sure if I should wait it out or go to the ER. Thank you Lucia
[|AI|]  Hello dear, I understand your concern. Usually absence of periods for 6 months during the menopausal age is considered as menopause. In my opinion any spotting or bleeding after that 6 months of period free interval is considered as postmenopausal bleeding(PMB). This PMB should be definitely investigated to rule out any endometrial pathology. Usually a minor procedure called D&C is done where in the endometrium is scraped and sent for testing to rule out any endometrial abnormality. And ultrasound helps in knowing the thickness of endometrium. The endometrium thickness is considered to be normal up to 5 mm in menopause.Also, the management of ovarian cysts depend on the size and nature of the cysts which are known by ultrasound. So relax. Avoid stress. Nothing to worry as such. Because nothing is confirmed without physical examination and relevant investigations. Kindly consult your doctor and get investigated to rule out the cause for spotting. Hope this helps. Best regards...