01/27/2026
Something no one really talks about is postmenopausal bleeding. You finally started hormone therapy, you started feeling better, and then…you see spotting. But, there’s no reason to freak out!
In fact, If you still have a uterus, a little bit of spotting or bleeding is actually a totally normal, expected side effect when you first start hormone therapy or change your dose!
Usually, postmenopausal bleeding is an automatic “red alert” for doctors, leading to ultrasounds and biopsies. And while we always monitor it, if we know it’s just your body adjusting to your new HRT routine, we don’t always need to jump to the big, scary workups. If the bleeding persists, we have plenty of tools in our bag to help it stop, from adjusting your progesterone to switching up your patch.
It doesn’t have to be scary, but it does deserve a conversation. If your hormones are shifting and your body is “talking” back, let’s figure out what it’s trying to say.
With care,
Magen | Mystic Valley Sexual Wellness
FNP-BC, MSCP, CSC