Hi Kaily
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
Sorry to hear about your bleeding. You've done the right thing in getting doctor's appointment so that you can get checked out. Do you know where your endometriosis was ie was it confined mainly to the womb?
There is some information on this website about it:
Endometriosis
There is a small risk of reactivation of endometriosis with HRT use and any recurrence of symptoms should be reported. If a hysterectomy has been performed for endometriosis, the choice of HRT use thereafter should be influenced by the extent of endometriosis at the time of the operation. Since hysterectomy often causes a premature menopause, it is often advised to take HRT until the average age of the menopause; 51 years. HRT after hysterectomy usually consists of estrogen only. However, in the presence of endometriosis, estrogen may cause stimulation of residual deposits and consideration should be given to using continuous combined (estrogen plus daily progestogen) therapy, or tibolone, though little research has been done on the effect of different types and duration of therapy. Medical treatment of endometriosis often involves ovarian suppression which, along with ovarian removal, may increase the risk of osteoporosis.
See the Induced menopause in women with endometriosis factsheet https://www.menopausematters.co.uk/atoz.php#GlossEIf you go to that link above it will take you to the other link and factsheet.
I wonder if you are able to ask for an earlier appoinment ie this week? Can you explain that you are worried about the abnormal bleeding which it is as you were bleeding for a month on cyclical HRT when sometimes you get no bleeds. Personally this is a good reason to go sooner - say to the receptionists you would like to be seen this week. If you were younger then it could easily be due to the vagaries of peri-menopause but as you are 57 - this should not really happen - so the endometriosis might have flared up. In addition if it is causing you pain as well I would defo mention it.
In the meantime, try not to worry, and do all your Christmas preparaton to take your mind off it. I hope you manage to get an earlier appointment, and are able to get the next step sorted soon eg a scan or referral if that's what the doc suggests.
Do let us know and all the best
Hurdity x