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19 days ago
Co Creator: mmoa.icephysio pelvic.icephysio
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be a Twitter screenshot of one or more people and text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be a meme of text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be an image of text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be a graphic of one or more people, magazine and text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be an image of text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be an image of text.
Photo by Pregnancy researcher & pelvic physio on October 17, 2026. May be an image of hospital and text.
9
Posted On: October 17th 2026, 11:30 am
I have always wondered about the natural history of different gynaecological conditions.

Endometriosis is a chronic inflammatory condition that is sensitive to estrogen. So in menopause, it stands to reason, endo starts to resolve

For many, it does.

But I had a client who still had irregular cyclical bleeding until almost 60 but her internal exam looked like she had been low estrogen for awhile.

It made me curious if menopause timing could be misinterpreted as continual bleeding in endometriosis.

This post is super niche and exploratory. Evidence here is low and new.

But welcome to my nerdy rabbit 🕳️
Comments (9)
drbillhessedpt 12 days ago

drbillhessedpt

My grandmother passed from the onset of aggressive and rapidly spreading uterine cancer. Always gotta keep an eye for what isn’t “usual”. Great content as always!

shegoespublic 17 days ago

shegoespublic

Thank you for all your work in this arena. It's vital!! 🙏🏼🙏🏼🎉

pt_dr_cc 19 days ago

pt_dr_cc

Love a nerdy rabbit hole!! 🤯

cassiemcdonaldrossdpt 19 days ago

cassiemcdonaldrossdpt

Oooh this is news to me! Gonna take a dive here.

clobobble 19 days ago

clobobble

As a gynae pathologist I can see endometriosis all over at various stages of activity in post menopausal women also in the nerdy rabbit hole

parkingforpatrons 19 days ago

parkingforpatrons

This is interesting as all women on my mom’s side (mom and her 3 sisters, her mom) entered menopause LATE (like still having periods at 55-58) but each one of them needed some sort of surgical intervention to stop bleeding (all had hysterectomies or partial hysterectomies, my mom had wild fibroids). Curious what you find!

terezaskranka 19 days ago

terezaskranka

Surgery, hormonal therapy but also supplements and lifestyle changes might be super helpful. I think @drjolenebrighten is one of the best medical professionals that cover this topic more holistically.

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