What can cause a period in 68 year old woman long after menopause?

It is highly uncommon for a woman to experience a period after menopause, which is defined as the permanent cessation of menstrual cycles for at least 12 consecutive months. While some women may experience occasional spotting or light bleeding in the years following menopause, true menstrual bleeding in a woman of 68 years of age would require further investigation to rule out underlying medical conditions.

Here are a few possible causes of bleeding after menopause:

- Hormone replacement therapy (HRT): Certain types of HRT, particularly those that contain estrogen, may cause breakthrough bleeding or spotting in some women. If you are taking HRT, talk to your doctor about adjusting your dosage or trying a different type of therapy.

- Endometrial hyperplasia: This condition refers to an overgrowth of the uterine lining. It can sometimes cause irregular bleeding or spotting after menopause and is associated with an increased risk of endometrial cancer. Endometrial hyperplasia is often treated with medication or surgery.

- Endometrial cancer: Endometrial cancer is a type of cancer that starts in the lining of the uterus. It is the most common gynecologic cancer in the United States. Symptoms can include abnormal vaginal bleeding, pelvic pain, or unusual discharge. Endometrial cancer is often diagnosed through a biopsy of the uterine lining and may require surgery, chemotherapy, or radiation therapy for treatment.

- Other medical conditions: In rare cases, bleeding after menopause may be caused by other medical conditions, such as certain types of infections, trauma to the uterus, or blood clotting disorders.

It is important for any woman experiencing bleeding after menopause to see a doctor for evaluation. This will help determine the cause of the bleeding and ensure prompt treatment if necessary. The doctor may recommend tests such as a pelvic exam, ultrasound, or endometrial biopsy to investigate the cause of the bleeding.