American Pima cotton, like Egyptian cotton, is an Extra-Long Staple (ELS) cotton (the term âstapleâ refers to fiber length.) All cotton has a staple: Upland cottons tend to be classified as short to medium staple, which is an inch to an inch and three-sixteenths long; SJV Acala is a long staple, or inch and an eighth; and Pima is an extra long ...
Most Common Cause. A lack of estrogen is the most common cause of postmenopausal spotting in women not taking hormone therapy. Estrogen production drops to a low level after menopause, causing the tissues of both the vagina and uterus can become dry, thin and fragile. This is known as atrophy, which can cause bleeding.
Progesterone breakthrough bleeding occurs when the progesterone/estrogen ratio is high, leading to an atrophic and ulcerated endometrium because of a lack of estrogen, resulting in frequent, irregular bleeding. When a change in hormone regulation occurs, dysfunctional bleeding may follow.