Once you’ve reached menopause, you shouldn’t have any menstrual bleeding. If you’ve noticed any bleeding, even spotting, schedule an appointment with your gynecologist. While not all causes of bleeding are severe, they can still be alleviated for your comfort and peace of mind. There are several different conditions that can result in bleeding after menopause, so speak to your gynecologist about it.

Talking to Your Gynecologist About Abnormal Bleeding After Menopause

Before treatment can occur, your gynecologist must first determine what’s causing the bleeding. To do this, they will review your medical history and perform a physical exam, which may involve a pelvic exam, endometrial biopsy, or transvaginal ultrasound.

Before the appointment, organize some notes about the bleeding you’ve experienced. Light spotting may mean something different from bleeding akin to a period. Write down the date, time, and duration. Additionally, note your recent sexual activity and previous forms of birth control or hormonal supplements, as these may affect your reproductive system.

Causes of Postmenopausal Bleeding

Vaginal Atrophy

After menopause, your body won’t produce as much estrogen, which can cause your vaginal walls to become thin and dry. This can make sex more painful and result in vaginal bleeding. Water-based vaginal moisturizers can help reduce discomfort, and a vaginal cream, ring, or tablet can discourage development.

Polyps

Polyps are small, typically noncancerous growths inside your uterus. They can lead to spotting or bleeding after sex and are generally removed through surgery.

Thickening of Uterus Lining

This condition can occur if you have much estrogen and too little progesterone after menopause. The endometrium gets thick and can bleed. Treatments for this condition include medication, hormone therapy, or surgery.

Uterine Cancer

Bleeding after menopause may be one of the symptoms of uterine cancer. It occurs when endometrial cells grow and multiply faster than normal. Uterine cancer is generally treated with a hysterectomy, which removes the uterus and cervix.

If you’re experiencing bleeding after menopause, turn to Alaska Women's Health PC. The women’s health clinic has been providing gynecology and obstetrics services in the Anchorage, AK, area for over 30 years and treats every patient with compassion. They’re the only women’s health care provider in Alaska that is certified in Safety Certification in Outpatient Excellence (SCOPE) and can also diagnose and treat infertility and reproductive issues. To schedule an appointment with a gynecologist, call (907) 563-7228, and visit their website for more information about their services.