What is post-menopausal bleeding?

Women who have gone through menopause should not experience menstrual bleeding, which means that post-menopausal bleeding and spotting is abnormal.

What causes it?

The following conditions may cause post-menopausal bleeding:

  • Uterine polyps may cause spotting and bleeding.
  • Thinning of the uterine lining (endometrial atrophy) due to low levels of hormones after menopause may trigger uterine bleeding.
  • Thickening of the uterine lining (endometrial hyperplasia) due to too much estrogen or too little progesterone.
  • Thinning of the vaginal tissue which may cause bleeding after intercourse due to vaginal dryness.
  • Medications such as blood thinners may cause bleeding.
  • Hormone therapy
  • Cervical or vaginal cancer

How can post-menopausal bleeding be treated?

Depending on the cause of the bleeding, as well as the severity, treatment options include:

  • Estrogen creams if the bleeding is due to thinning of the uterine or vaginal lining.
  • Surgical removal of polyps
  • Hormone replacement therapy may be considered to counteract the lack of hormones due to menopause.
  • In more severe cases a hysterectomy may be considered.
  • If cancer is the cause, depending on the type and stage of cancer surgery, chemotherapy, and radiation therapy are usually considered with the help of Dr Tini’s guidance.
1Is post-menopausal bleeding the same as a period?

No, bleeding that occurs after menopause is not the same as menstrual bleeding and likely indicates an underlying medical condition.

2Should I be worried about spotting if I’m in menopause?

While spotting may seem harmless, it is important to see your gynaecologist if you experience any bleeding after menopause.

3Will I need a hysterectomy?

A hysterectomy is not always necessary. Your treatment for post-menopausal bleeding will depend on the cause.