“It is important to note that women who have gone
through the menopause should not have any
vaginal bleeding/spotting. If this occurs, see your doctor”.1

Umbrella
What may the Menopause and Bleeding After Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Abnormal Bleeding After Menopause/Postmenopause
  • Abnormal Uterine Bleeding After Menopause/Postmenopause
  • After Menopause Bleeding/Spotting/Vaginal Bleeding
  • Bleeding/Spotting/Vaginal Bleeding After Menopause/Postmenopause
  • Postmenopausal/Postmenopause Bleeding/Spotting/Vaginal Bleeding

Definition

What is postmenopausal bleeding?

DotS the definition of postmenopausal bleeding may vary. In Postmenopausal Bleeding the (United States) Cleveland Clinic’s definition is:

“Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your last menstrual period”.2

In Health After Menopause: Postmenopausal Bleeding the (Australian) Jean Hailes for Women’s Health (JH) definition is:

“Postmenopausal bleeding is bleeding that occurs more than 12 months after your final period (the menopause). It can be bleeding like a period, spotting or staining”.3

Normal or Not

Is bleeding after menopause or postmenopausal bleeding, normal?

No. In Bleeding After Menopause: Is It Normal? I Thought I Was In Menopause Because I Haven’t Had A Period In Three Years. But Then Last Month, I Suddenly Got My Period Again. What’s Up? I’m 50 Years Old the author elaborates on: Menopause and Bleeding After Menopause

“Vaginal bleeding after menopause isn’t normal and should be evaluated by your doctor”.4

In How Serious Is Postmenopausal Bleeding? the North American Menopause Society also note:

“If you’re postmenopausal, you shouldn’t be bleeding. The very definition of menopause is having gone more than 12 months without a period. So if you’re still bleeding, something is wrong”.5

In Periods: Overview – Changes In Your Periods the (United Kingdom) NHS note:

“Bleeding between periods, bleeding after having sex, or bleeding after the menopause needs to be checked by a doctor”.6

Cause

What may cause postmenopausal bleeding?

In Health After Menopause: Postmenopausal Bleeding the JH elaborate on:

“The reason it is important to see your doctor about this abnormal bleeding is it that uterine or endometrial cancer must be excluded. These are the most serious but infrequent causes of this bleeding. In most women, the cause will be due to a very thin endometrial or uterine lining, but there can also be other causes, such as an endometrial polyp inside the uterus. See your doctor for further investigations”.7

Uterine Cancer

What is the association between uterine cancer and postmenopausal bleeding?

In Postmenopausal Bleeding the Cleveland Clinic note:

“In about 10% of women, bleeding after menopause is a sign of uterine cancer”.8

Health Care Provider

What if I have bleeding after menopause?

If you have bleeding after menopause, it may be in your best interest to choose to talk to your health care provider about this as soon as possible.

In Menopause: Symptoms & Causes – Symptoms: When To See A Doctor the Mayo Clinic note:

“Always seek medical advice if you have bleeding from your vagina after menopause”.9

In Heavy Bleeding: What Causes Heavy Bleeding? Intrauterine Device (IUD) the JH also encourage us to seek help:

“It is important to note that women who have gone through the menopause should not have any vaginal bleeding/spotting. If this occurs, see your doctor”.10

In Postmenopausal Bleeding the NHS elaborate on:

“See a GP if you have postmenopausal bleeding, even if:

  • It’s only happened once
  • There’s only a small amount of blood, spotting, or pink or brown discharge
  • You do not have any other symptoms
  • You’re not sure if it’s blood”.11

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

The Cleveland Clinic note:

“Contact your healthcare provider if you experience vaginal bleeding:

  • More than a year after your last menstrual period
  • More than a year after starting hormone replacement therapy (HRT)

A note from Cleveland Clinic

It’s normal to have irregular vaginal bleeding in the years leading up to menopause. But if you have bleeding more than a year after your last menstrual period, it’s time to see your healthcare provider. It could be the result of a simple infection or benign growths. But in rare cases, bleeding could be a sign of uterine cancer”.12

Health Topics A-Z

Where may I find Health Topics related to Menopause and Bleeding After Menopause?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Menopause and Bleeding After Menopause?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Heavy Bleeding: Intrauterine Device (IUD). Last Updated: 18 August 2021 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 26 April 2022
  2. Health After Menopause: Postmenopausal Bleeding. Last Updated: 25 March 2021 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/health-after-menopause Accessed: 26 April 2022
  3. Postmenopausal Bleeding. Last Updated: 26 May 2021. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding Accessed: 26 April 2022
  4. Laughlin-Tommaso, S. K. Bleeding After Menopause: Is It Normal? I Thought I Was In Menopause Because I Haven’t Had A Period In Three Years. But Then Last Month, I Suddenly Got My Period Again. What’s Up? I’m 50 Years Old. 16 September 2020. https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/bleeding-after-menopause/faq-20058396 Accessed: 26 April 2022
  5. How Serious Is Postmenopausal Bleeding? 11 October 2017. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/postmenopausal-bleeding-10-9-17.pdf Accessed: 26 April 2022
  6. Periods: Overview – Changes In Your Periods. Page Last Reviewed: 05 August 2019. NHS https://www.nhs.uk/conditions/periods/#changes-in-your-periods Accessed: 26 April 2022
  7. Health After Menopause: Postmenopausal Bleeding. Last Updated: 25 March 2021 | Last Reviewed: 17 December 2017. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/health-after-menopause Accessed: 26 April 2022
  8. Postmenopausal Bleeding. Last Updated: 26 May 2021. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding Accessed: 26 April 2022
  9. Menopause: Symptoms & Causes – Symptoms: When To See A Doctor. 14 October 2020. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 Accessed: 26 April 2022
  10. Heavy Bleeding: What Causes Heavy Bleeding? Intrauterine Device (IUD). Last Updated: 18 August 2021 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 26 April 2022
  11. Postmenopausal Bleeding. Page Last Reviewed: 14 July 2020. NHS https://www.nhs.uk/conditions/post-menopausal-bleeding/#when-to-get-medical-help Accessed: 26 April 2022
  12. Postmenopausal Bleeding: Living With – When Should I Contact My Doctor? Last Updated: 26 May 2021. Cleveland Clinic https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding Accessed: 26 April 2022

Topic Last Updated: 26 April 2022 – Topic Last Reviewed: 26 April 2022
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