Spotting a month after Hysteroscopy

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Hello!

Just joined after reading all the great supportive posts! I have been in menopause for at least 5-6 years now. I started having some brown spotting in Nov. After seeing a GYN she ordered a transvag and pelvic u/s. The u/s said maybe a small fibroid. My lining was too thick at 7mm. I have been on Estrogen patches and progesterone HRT for around 4 years. Had a hysteroscopy and D&C with general anesthesia on Jan 20th. No fibroid, or polyps turned up in the exam. My biopsy results came back ok. No atypical cells. I was relieved. When I went in for my f/u the GYN said low levels of estrogen despite me being on it can cause bleeding. The way she explained it made since and she explained with the estrogen and progesterone it can still happen. Fast forward 5 wks now and I started having brown spotting again. She had told me at the f/u if the spotting occurs again we need to do the whole process all over. Maybe it's still too soon from the hysteroscopy? I am torn to what to do. I thought I could send her a message but then I have a feeling she will say wait and see. Is there something else that could be done to investigate the spotting? I am a nurse, but I am still dumbfounded!

Thank you!!

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