Why assessment matters
Common causes include thinning of vaginal or uterine tissues, polyps or medication effects. Less commonly, bleeding may be linked to pre-cancerous or cancerous changes, which is why it should not be ignored.
What assessment may involve
Evaluation may include a pelvic examination, transvaginal ultrasound and, where appropriate, sampling of the uterine lining or hysteroscopy.
Treatment depends on the cause
Management is based on the diagnosis. It may involve local treatment, removal of a polyp, medication, a procedure or referral for additional care.
Before your appointment
Note when the bleeding occurred, whether it followed intercourse, any medication or hormone therapy you use, and any pelvic pain or discharge.
Seek urgent medical care if bleeding is heavy, you feel faint or weak, or you have severe pain or other concerning symptoms.