Bleeding After Menopause

Menopause is the end of the women’s reproductive phase.

Menopause is the end of the women’s reproductive phase.
Bleeding After Menopause

Menopause is the end of the women’s reproductive phase. If you reach menopause, you shouldn’t get any bleeding after that. Menopause is generally determined if you haven’t get periods for one year.

Bleeding, including spotting after menopause, is not a normal condition. Immediately you have to check with the doctor to determine the cause.

Reason and management for bleeding after menopause:

Uterine polyps:

The overgrowth of the cells in the uterine wall is called uterine polyps. This tissue growth is found in the uterus and cervix. These can cause bleeding.

These polyps are not cancerous growth; however, it has to be removed if causes discomfort like bleeding. These polyps are sometimes a risk factor for cancerous transformation. These are removed by D&C ( dilation and curettage ) where the cervix is dilated and polyps are removed or with hysteroscopy where a thin surgical instrument is passed through the vagina with the help of hysteroscope and polyps are removed.

Thinning or thickening of the endometrium:

Due to hormone fluctuations after menopause, the endometrium that lines the uterine cavity can either becomes too thin or too thick. This might cause spotting or bleeding.

Abnormal endometrial changes have to be corrected to prevent cancerous transformation. With hysteroscopy, the abnormal thickening of endometrial walls could be scrapped away. These changes can be conservatively managed at the initial stage using hormonal therapy.

Thinning of the vaginal wall:

After menopause, thinning of the vaginal wall can happen due to a low level of oestrogen hormone. This can cause bleeding. Replacing hormones with hormonal therapy can revert back the vagina into a healthier form.


Cancer originated from the reproductive organ like cervix cancer, endometrial cancer, cancer in the uterus or vagina can cause bleeding.


Hysterectomy followed by chemotherapy and/or radiotherapy is needed to treat endometrial or cervix cancer. This surgery is the removal of part or all of the uterus. Sometimes, you may also be required to remove ovaries or fallopian tubes due to cancer.

Medication side effects:

Sometimes, certain medicines like hormonal therapy, blood thinners can cause bleeding. Care should be taken while taking these drugs. If you have bleeding due to medication, your doctor will find an alternative drug or reduce the dosage for you.

Sexually transmitted diseases:

Some STDs like chlamydia, gonorrhea and herpes sores can cause bleeding after intercourse. These diseases are treated with antibiotics and proper hygiene.

Thus, certainly bleeding after menopause should not be left uncared. It has to be addressed to your physician immediately for early diagnosis and prompt treatment.

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