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• #1 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #2 Causes of Postmenopausal Bleeding, Spotting and Cramping | My Menopause Centre

  https://www.mymenopausecentre.com/post-menopause-health/post-menopause-symptoms/causes-of-postmenopausal-bleeding-spotting-and-cramping/

  Post menopausal bleeding is bleeding that occurs one year or more after the last menstrual period. […] The bleeding or spotting sometimes occurs with cramping and pain and sometimes not. […] Symptoms: Vaginal bleeding after menopause. […] Symptoms: Bleeding post menopause this may be spotting, light or heavy unscheduled bleeding. […] Symptoms: Menstrual cramps and vaginal bleeding after menopause. […] Symptoms: Post menopausal bleeding, […] Symptoms: Post menopausal bleeding, pelvic pain, persistent bloating, urgent need to pass urine or increased frequency of passing urine, changes in bowel habit and unexplained weight loss. […] Symptoms: Post menopausal bleeding, bleeding after sex. […] Symptoms: Post menopausal bleeding, […] Symptoms: Post menopausal bleeding, spotting and pelvic pain. […] Symptoms: Post menopausal bleeding and cramping, a discharge can occur also which may be offensive. […] Any postmenopausal bleeding whether minor or severe should be reported to a doctor.

• #3 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Menopause is characterized by the complete absence of menstrual cycles, which occurs when a female has no ovarian follicles left in reserve and is clinically diagnosed when a woman has had amenorrhea for 1 year. […] Bleeding after menopause has been established, termed postmenopausal bleeding, is considered abnormal and is the reason for approximately two-thirds of all gynecologic office visits in postmenopausal women. […] The differential diagnoses associated with postmenopausal bleeding (PMB) include several conditions. Though the most common cause of PMB is atrophy of the lower reproductive tract, 90% of postmenopausal women diagnosed with endometrial cancer presented with vaginal bleeding. […] Early diagnosis and management lead to a significantly more favorable prognosis, as with most malignancies. Therefore, any postmenopausal woman with vaginal bleeding should be promptly and appropriately evaluated through a comprehensive clinical examination and diagnostic studies, including endometrial biopsy and imaging.

• #4 Postmenopausal bleeding | nidirect

  https://www.nidirect.gov.uk/conditions/postmenopausal-bleeding

  Menopause happens when a womans periods stop. After periods have stopped for more than a year, any bleeding from the vagina after this needs to be checked by a GP. The condition is called postmenopausal bleeding. […] Postmenopausal bleeding isn’t usually serious, but can be a sign of cancer. Cancer is easier to treat if it’s found early. […] There can be several causes of postmenopausal bleeding. The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) caused by lower oestrogen levels, cervical or womb polyps growths that are usually non-cancerous, a thickened womb lining (endometrial hyperplasia) this can be caused by hormone replacement therapy (HRT), high levels of oestrogen or being overweight, and can lead to womb cancer. […] Less commonly, postmenopausal bleeding is caused by cancer.

• #5 Bleeding after menopause: A concern?

  https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/bleeding-after-menopause/faq-20058396

  Bleeding from the vagina after menopause is unusual. Get it checked by a health care provider as soon as you can. […] This type of bleeding is also called postmenopausal vaginal bleeding. It can be caused by: […] The cause of your bleeding may be harmless. Or it could be due to something serious. That’s why it’s important to see your gynecologist or other care provider for a check-up as soon as possible.

• #6 Postmenopausal Bleeding: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding

  Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about 10% of women, bleeding after menopause is a sign of uterine cancer. […] In most cases, postmenopausal bleeding is due to benign (noncancerous) conditions and isnt a cause for worry. But for about 10% of women, bleeding after menopause is an early sign of uterine cancer (cancer in the lining of your uterus). […] Any vaginal bleeding that occurs more than a year after your last menstrual period is unusual. This includes light bleeding or spotting, pink or brown discharge and heavy bleeding, even if it only happens once or twice. […] Postmenopausal bleeding occurs in about 10% of women over 55.

• #7 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #8 Postmenopausal Bleeding | Intimate Wellness Institute

  https://iwiva.com/home-page/womens-speciality-care/advanced-gynecology/postmenopausal-bleeding/

  Postmenopausal bleeding is bleeding that occurs after menopause. Vaginal bleeding that occurs more than a year after a womans last period isnt normal. The bleeding can be light (spotting) or heavy. […] Postmenopausal bleeding occurs in about 10% of women over 55. […] The most common causes of bleeding or spotting after menopause include: Endometrial or vaginal atrophy (lining of the uterus or vagina becomes thin and dry). Hormone replacement therapy (HRT) (estrogen and progesterone supplements that decrease some menopausal symptoms). Uterine cancer or endometrial cancer (cancer in the lining of the uterus). Endometrial hyperplasia (the lining of the uterus gets too thick and can contain abnormal cells). Uterine polyps (growths in the uterus). […] Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the most common treatments.

• #9 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #10 Approach to the patient with postmenopausal uterine bleeding – UpToDate

  https://www.uptodate.com/contents/approach-to-the-patient-with-postmenopausal-uterine-bleeding

  Postmenopausal bleeding (PMB) refers to any uterine bleeding in a menopausal patient (other than the expected cyclic bleeding that occurs in patients taking combined [ie, estrogen-progestin], cyclic, postmenopausal hormone therapy). As PMB is the cardinal sign of endometrial carcinoma, all postmenopausal patients with unanticipated PMB should be evaluated for endometrial hyperplasia/carcinoma. More commonly, however, the cause of bleeding in such patients is the result of a benign condition, such as endometrial polyps or atrophy. […] PMB accounts for approximately 5 percent of office gynecology visits and occurs in approximately 4 to 11 percent of postmenopausal patients. […] The incidence appears to be inversely related to the time since menopause, with the likelihood of bleeding decreasing over time. In a prospective study including 271 Danish postmenopausal patients who completed a daily diary for one year, more patients experienced PMB after the first 12 months of amenorrhea following menopause compared with >3 years after menopause (estimated incidence of bleeding 409 per 1000 versus 42 per 1000 person-years).

• #11 Postmenopausal Bleeding: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding

  Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about 10% of women, bleeding after menopause is a sign of uterine cancer. […] In most cases, postmenopausal bleeding is due to benign (noncancerous) conditions and isnt a cause for worry. But for about 10% of women, bleeding after menopause is an early sign of uterine cancer (cancer in the lining of your uterus). […] Any vaginal bleeding that occurs more than a year after your last menstrual period is unusual. This includes light bleeding or spotting, pink or brown discharge and heavy bleeding, even if it only happens once or twice. […] Postmenopausal bleeding occurs in about 10% of women over 55.

• #12 Bleeding – perimenopausal, postmenopausal and breakthrough bleeding on MHT/HRT – Australasian Menopause Society

  https://menopause.org.au/hp/information-sheets/postmenopausal-bleeding-including-breakthrough-on-mht-hrt

  Postmenopausal bleeding (PMB) refers to any vaginal bleeding that occurs in a menopausal woman ie. 12 months after their final menstrual period. […] Any postmenopausal bleeding requires investigation to exclude a sinister cause. The likelihood of endometrial carcinoma for a woman presenting with PMB is 10%. However, around 95% of women with endometrial malignancy will present with PMB. […] Bleeding should be investigated if it occurs after six months use of CCMHT or tibolone, or starts after amenorrhoea has been established on this regimen. […] The primary goal of investigation is to exclude malignancy, and secondarily to elucidate a treatable non-malignant cause. […] Endometrial ultrasound is the initial investigation of choice. […] Tamoxifen therapy is associated with stimulation of the endometrium and an increased risk of endometrial cancer.

• #13 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #14 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #15 ‘How I knew I had endometrial (uterine) cancer’: Six survivors share symptoms  | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/-how-i-knew-i-had-endometrial-cancer—six-survivors-share-their-symptoms-stories.h00-159621801.html

  Maria Lozano was already well into menopause when she started experiencing the most common symptom of endometrial cancer (also known as uterine cancer): abnormal vaginal bleeding. […] After 10 years of not having my period, suddenly I was bleeding again, says Maria, who was 59 at the time of her stage III endometrial cancer diagnosis. […] Post-menopausal bleeding is actually a wonderful signal the body gives us that something is not right, explains gynecologic oncologist Larissa Meyer, M.D. While not all postmenopausal bleeding is due to cancer, 90% of women with postmenopausal endometrial cancer experienced abnormal vaginal bleeding. […] Unlike ovarian cancer, which is often diagnosed in the later stages due to an absence of clear symptoms, vaginal bleeding after menopause is a sentinel sign of endometrial cancer that drives many people to see the doctor, she adds.

• #16 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  It’s important to note that blood flow does not need to be heavy for a woman to seek guidance from her doctor. Even a single instance of questionable postmenopausal bleeding is worth discussing with a provider. […] Women who experience postmenopausal bleeding usually have positive outcomes. Medication and other treatment options should help to stop bleeding among women whose symptoms are due to non-cancerous causes. […] If a woman experiences postmenopausal bleeding because of endometrial cancer, early detection and treatment will help to improve the outcome. When endometrial cancer is discovered before it spreads, 95% of women survive 5 or more years.

• #17 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years. […] But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s. […] Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers. […] Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope. […] If he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said. […] Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy.

• #18 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  My patient Rosa has come to my office for an appointment, but its not for her annual visit. Instead, shes here for vaginal bleeding that has taken her by surprise. Rosa is a woman in her mid-60s whos well past menopause. […] Most women who experience bleeding after menopause are understandably concerned. After all, they thought they were done with it. (Menopause is officially confirmed if it has been 1 year since your last menstrual period.) […] Postmenopausal bleeding can range from light spotting that is pinkish-gray or brown, all the way to a heavy flow, like a regular period. Most of the time, there is no pain with the bleeding. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. […] One reason for postmenopausal bleeding could be that the tissue of your vagina and vulva has gotten thinner. This can happen during menopause due to hormone changes.

• #19 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #20 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #21 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #22 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #23 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #24 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #25 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #26 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #27 Brown spotting after menopause: 8 causes

  https://www.medicalnewstoday.com/articles/321414

  Experiencing brown discharge or spotting after menopause can sometimes be a sign of an underlying medical condition. […] Brown spotting after menopause is typically a sign of blood mixing into discharge. Or, blood can turn brown or black as it oxidizes and leaves the vagina. […] A person should check any abnormal bleeding or spotting during menopause with a doctor, as it could signal an underlying health issue. […] Vaginal atrophy often causes the vagina to become drier, less flexible, and more susceptible to inflammation or infection than before menopause. Vaginal atrophy may lead to: […] spotting […] bleeding after sex. […] Thick endometrial tissue can cause irregular bleeding or spotting during menopause. […] Certain types of vaginal infections can cause unusually colored discharge that looks like spotting or bleeding after sex.

• #28 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #29 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #30 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #31 Causes of Postmenopausal Bleeding, Spotting and Cramping | My Menopause Centre

  https://www.mymenopausecentre.com/post-menopause-health/post-menopause-symptoms/causes-of-postmenopausal-bleeding-spotting-and-cramping/

  Post menopausal bleeding is bleeding that occurs one year or more after the last menstrual period. […] The bleeding or spotting sometimes occurs with cramping and pain and sometimes not. […] Symptoms: Vaginal bleeding after menopause. […] Symptoms: Bleeding post menopause this may be spotting, light or heavy unscheduled bleeding. […] Symptoms: Menstrual cramps and vaginal bleeding after menopause. […] Symptoms: Post menopausal bleeding, […] Symptoms: Post menopausal bleeding, pelvic pain, persistent bloating, urgent need to pass urine or increased frequency of passing urine, changes in bowel habit and unexplained weight loss. […] Symptoms: Post menopausal bleeding, bleeding after sex. […] Symptoms: Post menopausal bleeding, […] Symptoms: Post menopausal bleeding, spotting and pelvic pain. […] Symptoms: Post menopausal bleeding and cramping, a discharge can occur also which may be offensive. […] Any postmenopausal bleeding whether minor or severe should be reported to a doctor.

• #32 Postmenopausal Bleeding: Causes, Treatments, and Complications

  https://resources.healthgrades.com/right-care/menopause/vaginal-bleeding-after-menopause

  Postmenopausal bleeding is any vaginal bleeding that occurs after a person has gone through menopause. Various conditions, including endometrial atrophy, hyperplasia, or cancer, can cause it. […] Any vaginal bleeding after menopause is considered atypical and should be evaluated by a healthcare professional. […] Postmenopausal bleeding may occur alongside other symptoms, which can vary depending on the underlying condition. […] You may experience abdominal pain or cramping, pelvic or lower back pain, fatigue, pain during sexual intercourse, vaginal discharge, change in bowel movements, constipation, fever and chills, irritability or other mood changes, lethargy, unexplained weight gain or loss. […] If the bleeding is severe or occurs with other concerning symptoms like a rapid heart rate, seek immediate medical attention.

• #33 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #34 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #35 When is postmenopausal bleeding cause for concern?

  https://www.healthspan.co.uk/advice/body/when-is-postmenopausal-bleeding-cause-for-concern/?srsltid=AfmBOoou2EGiDUpD5b8K8eNf7qFEHZwhi4eecEqb5nDKmGhkgFyN9kH_

  This lack of oxygen in your body may also cause headaches, ringing in the ears, or make you seem unusually pale. […] Blood in your urine may be a sign of a urinary tract Infection (UTI), haemophilia, a condition where the blood has trouble clotting, which makes it difficult for bleeding to stop, or, in some rare cases, endometrial cancer. […] Abnormal vaginal discharge may be a sign of gonorrhoea or chlamydia, both sexually transmitted infections that can be treated with antibiotics. […] When you visit your GP about your symptoms, they will most likely run a few tests to determine what is causing the bleeding.

• #36 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #37 Postmenopausal Bleeding: Causes and What to Do Next

  https://www.businessinsider.com/guides/health/conditions-symptoms/postmenopausal-bleeding

  Although uterine cancer doesn’t always involve noticeable symptoms, you could experience: Pelvic pain, Abnormal Pap test results, Unusual vaginal spotting, bleeding, or discharge. […] Because postmenopausal bleeding can have a variety of causes, it’s important to talk with a healthcare professional if you experience any irregular bleeding. […] In all cases of postmenopausal bleeding, an OB-GYN or other healthcare professional can perform an exam to narrow down the cause and rule out serious conditions. […] Postmenopausal bleeding can have many possible causes, but it most often happens as a result of vaginal atrophy and uterine polyps.

• #38 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  Spotting or light bleeding after menopause might not seem like a serious problem, but you should never ignore it or wait to bring it up with your doctor. After a womans periods have stopped, vaginal bleeding could be a sign of a health issueincluding endometrial (uterine) cancer. […] Postmenopausal bleeding is never normal. Whether its light spotting or a heavier flow, vaginal bleeding after menopause can signal potential health problems. […] In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancera malignancy of the uterine lining, but only in a small number of cases. […] Still, we want the option to intervene early if it is cancer, since treating it sooner leads to better outcomes, Mantia-Smaldone said.

• #39 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #40 Postmenopausal Bleeding: Symptoms, Causes & Treatment | MyloFamily

  https://www.mylofamily.com/article/postmenopausal-bleeding-symptoms-causes-treatment-215240?internal_source=organic_article&internal_medium=25191&srsltid=AfmBOor2W_a-gQcYggqrbURAIgy4KzOKv6rKQ1u6r7mGdkwJEXx81Hma

  Postmenopausal bleeding is when a woman has vaginal bleeding for a year or more after her last period. […] After menopause, bleeding can indicate uterine cancer in roughly 10% of women. […] Some women experiencing postmenopausal bleeding may not show any other symptoms. Yet signs and symptoms of postmenopausal bleeding might be present. This may be dependent on the underlying reason of the bleeding. […] For women who have passed menopause, some possible symptoms are: Vaginal dryness, Lessened sexual desire, Lack of Sleep, Stress, Increase in Urinary Tract Infections, Weight Gain. […] The most common causes of postmenopausal bleeding are: Hormone Replacement Therapy, Endometrial or Uterine Cancer, Vaginal or Endometrial Atrophy, Uterine Polyps, Endometrial Hyperplasia. […] Bleeding after menopause could be caused by something minor, such as an enlarged uterus, or something more serious, like malignancy. […] The causes of postmenopausal bleeding are the factors that decide its treatment. The most common treatment of postmenopausal bleeding is either surgery or medication.

• #41 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #42 Post-menopausal Bleeding Treatment in Bangalore – Dr Rani Bhat

  https://www.drranibhat.com/post-menopausal-bleeding

  Postmenopausal bleeding is bleeding pervagina after you have attained menopause and this needs to be checked out by a doctor. […] It is not normal for you to bleed or spot 12 months or more after your last period. […] Any bleeding or spotting that happens after menopause is known as postmenopausal bleeding. Its important to remember that it is not normal to bleed or spot 12 months or more after your last period. […] Bleeding after menopause is the main symptom and many may not have other symptoms. […] Depending on the cause of bleeding sometimes they can have other symptoms such as pain, bladder and bowel complaints, bleeding after sexual intercourse, bloody white discharge that may be foul-smelling. […] In addition to this since women are undergoing menopause, they can have menopausal symptoms such as hot flashes, vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain.

• #43 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #44 Postmenopausal Bleeding: Symptoms, Causes & Treatment | MyloFamily

  https://www.mylofamily.com/article/postmenopausal-bleeding-symptoms-causes-treatment-215240?internal_source=organic_article&internal_medium=25191&srsltid=AfmBOor2W_a-gQcYggqrbURAIgy4KzOKv6rKQ1u6r7mGdkwJEXx81Hma

  Postmenopausal bleeding is when a woman has vaginal bleeding for a year or more after her last period. […] After menopause, bleeding can indicate uterine cancer in roughly 10% of women. […] Some women experiencing postmenopausal bleeding may not show any other symptoms. Yet signs and symptoms of postmenopausal bleeding might be present. This may be dependent on the underlying reason of the bleeding. […] For women who have passed menopause, some possible symptoms are: Vaginal dryness, Lessened sexual desire, Lack of Sleep, Stress, Increase in Urinary Tract Infections, Weight Gain. […] The most common causes of postmenopausal bleeding are: Hormone Replacement Therapy, Endometrial or Uterine Cancer, Vaginal or Endometrial Atrophy, Uterine Polyps, Endometrial Hyperplasia. […] Bleeding after menopause could be caused by something minor, such as an enlarged uterus, or something more serious, like malignancy. […] The causes of postmenopausal bleeding are the factors that decide its treatment. The most common treatment of postmenopausal bleeding is either surgery or medication.

• #45 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #46 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #47 Post-menopausal Bleeding Treatment in Bangalore – Dr Rani Bhat

  https://www.drranibhat.com/post-menopausal-bleeding

  Postmenopausal bleeding is bleeding pervagina after you have attained menopause and this needs to be checked out by a doctor. […] It is not normal for you to bleed or spot 12 months or more after your last period. […] Any bleeding or spotting that happens after menopause is known as postmenopausal bleeding. Its important to remember that it is not normal to bleed or spot 12 months or more after your last period. […] Bleeding after menopause is the main symptom and many may not have other symptoms. […] Depending on the cause of bleeding sometimes they can have other symptoms such as pain, bladder and bowel complaints, bleeding after sexual intercourse, bloody white discharge that may be foul-smelling. […] In addition to this since women are undergoing menopause, they can have menopausal symptoms such as hot flashes, vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain.

• #48 Postmenopausal Bleeding | Definition & Patient Education

  https://www.healthline.com/health/postmenopausal-bleeding

  Postmenopausal bleeding occurs in a womans vagina after she has undergone menopause. […] Women with postmenopausal bleeding should always see a doctor. […] Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding. […] Symptoms postmenopausal women may experience include: vaginal dryness, decreased libido, insomnia, stress incontinence, increased urinary tract infections, weight gain. […] Postmenopausal bleeding is often successfully treated. If your bleeding is due to cancer, the outlook depends on the type of cancer and stage at which it was diagnosed. The five-year survival rate is about 82 percent.

• #49 Postmenopausal Bleeding: Symptoms, Causes & Treatment | MyloFamily

  https://www.mylofamily.com/article/postmenopausal-bleeding-symptoms-causes-treatment-215240?internal_source=organic_article&internal_medium=25191&srsltid=AfmBOor2W_a-gQcYggqrbURAIgy4KzOKv6rKQ1u6r7mGdkwJEXx81Hma

  Postmenopausal bleeding is when a woman has vaginal bleeding for a year or more after her last period. […] After menopause, bleeding can indicate uterine cancer in roughly 10% of women. […] Some women experiencing postmenopausal bleeding may not show any other symptoms. Yet signs and symptoms of postmenopausal bleeding might be present. This may be dependent on the underlying reason of the bleeding. […] For women who have passed menopause, some possible symptoms are: Vaginal dryness, Lessened sexual desire, Lack of Sleep, Stress, Increase in Urinary Tract Infections, Weight Gain. […] The most common causes of postmenopausal bleeding are: Hormone Replacement Therapy, Endometrial or Uterine Cancer, Vaginal or Endometrial Atrophy, Uterine Polyps, Endometrial Hyperplasia. […] Bleeding after menopause could be caused by something minor, such as an enlarged uterus, or something more serious, like malignancy. […] The causes of postmenopausal bleeding are the factors that decide its treatment. The most common treatment of postmenopausal bleeding is either surgery or medication.

• #50 What are the symptoms of endometrial cancer? | Cancer Australia

  https://www.canceraustralia.gov.au/cancer-types/endometrial-cancer/what-are-symptoms-endometrial-cancer

  The most common symptom of endometrial cancer is abnormal vaginal discharge, particularly if it occurs after menopause. The discharge can appear watery or bloody, and may smell unusual. […] Abnormal bleeding or discharge can happen before or after menopause, and it is usually not due to endometrial cancer. However, all women with unusual bleeding or discharge should see their doctor, and all postmenopausal women who have vaginal bleeding should be referred to a gynaecologist. […] Other symptoms can include: discomfort or pain in the abdomen (belly); feeling a lump or mass in the abdomen; difficult or painful urination; pain during sex. […] Many conditions can cause these symptoms, not just endometrial cancer. If you have any of these symptoms, talk to your doctor. Your doctor may refer you for tests to see if you have cancer.

• #51 What are the symptoms of endometrial cancer? | Cancer Australia

  https://www.canceraustralia.gov.au/cancer-types/endometrial-cancer/what-are-symptoms-endometrial-cancer

  The most common symptom of endometrial cancer is abnormal vaginal discharge, particularly if it occurs after menopause. The discharge can appear watery or bloody, and may smell unusual. […] Abnormal bleeding or discharge can happen before or after menopause, and it is usually not due to endometrial cancer. However, all women with unusual bleeding or discharge should see their doctor, and all postmenopausal women who have vaginal bleeding should be referred to a gynaecologist. […] Other symptoms can include: discomfort or pain in the abdomen (belly); feeling a lump or mass in the abdomen; difficult or painful urination; pain during sex. […] Many conditions can cause these symptoms, not just endometrial cancer. If you have any of these symptoms, talk to your doctor. Your doctor may refer you for tests to see if you have cancer.

• #52 What are the symptoms of endometrial cancer? | Cancer Australia

  https://www.canceraustralia.gov.au/cancer-types/endometrial-cancer/what-are-symptoms-endometrial-cancer

  The most common symptom of endometrial cancer is abnormal vaginal discharge, particularly if it occurs after menopause. The discharge can appear watery or bloody, and may smell unusual. […] Abnormal bleeding or discharge can happen before or after menopause, and it is usually not due to endometrial cancer. However, all women with unusual bleeding or discharge should see their doctor, and all postmenopausal women who have vaginal bleeding should be referred to a gynaecologist. […] Other symptoms can include: discomfort or pain in the abdomen (belly); feeling a lump or mass in the abdomen; difficult or painful urination; pain during sex. […] Many conditions can cause these symptoms, not just endometrial cancer. If you have any of these symptoms, talk to your doctor. Your doctor may refer you for tests to see if you have cancer.

• #53 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Vaginal bleeding occurs in around 90% of people with endometrial cancer, although non-bloody vaginal discharge can also be a sign. Symptoms like pelvic pain, feeling a pelvic mass, or unintentional weight loss typically indicate a more advanced cancer. […] Vaginal bleeding after menopause is never considered normal. Failing to get it checked out may result in worsening symptoms and serious complications like anemia or a cancer that has progressed. […] The treatment of postmenopausal bleeding depends on the underlying cause. For example, surgery may be needed to remove noncancerous growths, such as fibroids or polyps. […] Vaginal bleeding after menopause is not normal and necessitates urgent medical evaluation by an obstetrician-gynecologist. Symptoms of postmenopausal bleeding may range from spotting to heavy flow. Vaginal discharge or accompanying symptoms like pelvic pressure may also occur.

• #54 ‘How I knew I had endometrial (uterine) cancer’: Six survivors share symptoms  | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/-how-i-knew-i-had-endometrial-cancer—six-survivors-share-their-symptoms-stories.h00-159621801.html

  About 75% of patients diagnosed with endometrial cancer are already in menopause. […] So, the bottom line is that if you have concerns about your cycle, or if you think you’re experiencing abnormal bleeding or any other symptom of endometrial cancer, talk to your gynecologist, she says. And, if you’re already in menopause and start bleeding again, get checked out. Because that’s not normal. Periods don’t just suddenly start up again years after they’ve stopped.

• #55 Bleeding After Menopause: What To Do | St. Elizabeth

  https://www.stelizabeth.com/healthyheadlines/bleeding-after-menopause-what-to-do/

  Reaching the milestone of menopause was quite an accomplishment. Now, you’re experiencing vaginal bleeding once again. Though it’s not typical, bleeding after menopause doesn’t necessarily indicate a serious problem. Getting it checked out can uncover the cause, help you get it under control and give you peace of mind. […] Bleeding after menopause looks different for every woman. You may notice light spotting. Or you may experience the same heavy flow you had in a typical period. Though bleeding after menopause rarely causes pain, it should get checked out by your provider. […] In some cases, postmenopausal bleeding can indicate cancer. According to a study published in JAMA Internal Medicine, this is the “presenting sign in more than 90% of postmenopausal women with endometrial cancer.” Despite this statistic, postmenopausal bleeding rarely indicates cancer. It’s usually something else.

• #56 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  My patient Rosa has come to my office for an appointment, but its not for her annual visit. Instead, shes here for vaginal bleeding that has taken her by surprise. Rosa is a woman in her mid-60s whos well past menopause. […] Most women who experience bleeding after menopause are understandably concerned. After all, they thought they were done with it. (Menopause is officially confirmed if it has been 1 year since your last menstrual period.) […] Postmenopausal bleeding can range from light spotting that is pinkish-gray or brown, all the way to a heavy flow, like a regular period. Most of the time, there is no pain with the bleeding. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. […] One reason for postmenopausal bleeding could be that the tissue of your vagina and vulva has gotten thinner. This can happen during menopause due to hormone changes.

• #57 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #58 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  Postmenopausal bleeding is a condition that can stem from a wide range of factors and occurs once a woman has officially reached the menopause phase. Menopause is defined as the cessation of menstrual periods for one year. Postmenopausal bleeding can range from minor spotting to a heavier flow. While typically patients do not experience pain with this bleeding, its occurrence can range from minor irregularities to indications of more serious health concerns. The most common cause attributed to postmenopausal bleeding is the thinning of the uterine lining. However, there is a wide range of potential causes, including conditions such as fibroids, vaginal atrophy, and endometrial polyps. […] The symptoms associated with postmenopausal bleeding present in a variety of ways. The primary symptom of postmenopausal bleeding is any vaginal bleeding that occurs after a woman has transitioned into menopause. Given that no amount of postmenopausal bleeding is considered normal, its presence warrants medical evaluation. Symptoms can range widely, from slight blood traces to more pronounced heavy flows. In some instances, blood may be noticed during vaginal intercourse. In other instances, it may present similarly to previous patterns of an individuals menstrual bleeding. Beyond bleeding, other related symptoms could include fever, abdominal pain, chills, dizziness, headaches, and alterations in bladder or bowel functionality. Symptoms can range from minor and associated with minimal discomfort to debilitating. Regardless of their severity, postmenopausal bleeding is always a cause for medical attention by the specialists at Evolve Gynecology.

• #59 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #60 Postmenopausal Bleeding: Causes and What to Do Next

  https://www.businessinsider.com/guides/health/conditions-symptoms/postmenopausal-bleeding

  Endometrial atrophy, or thinning of the uterine wall, can also cause postmenopausal bleeding. […] Polyps can irritate the surrounding tissue, exposing blood vessels and leading to bleeding or spotting. […] Postmenopausal polyps typically don’t involve noticeable symptoms other than bleeding. […] It can cause heavy or atypical bleeding during perimenopause and after menopause. […] The most common sign of endometrial hyperplasia is irregular bleeding, including: Short menstrual cycles, Unusually long periods, Heavier than normal periods, Missed periods. […] Sometimes, postmenopausal bleeding may suggest uterine or endometrial cancer. […] Since roughly 10% of those who experience postmenopausal bleeding develop cancer of the uterus, it’s essential to get an evaluation whenever postmenopausal bleeding happens.

• #61 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  My patient Rosa has come to my office for an appointment, but its not for her annual visit. Instead, shes here for vaginal bleeding that has taken her by surprise. Rosa is a woman in her mid-60s whos well past menopause. […] Most women who experience bleeding after menopause are understandably concerned. After all, they thought they were done with it. (Menopause is officially confirmed if it has been 1 year since your last menstrual period.) […] Postmenopausal bleeding can range from light spotting that is pinkish-gray or brown, all the way to a heavy flow, like a regular period. Most of the time, there is no pain with the bleeding. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. […] One reason for postmenopausal bleeding could be that the tissue of your vagina and vulva has gotten thinner. This can happen during menopause due to hormone changes.

• #62 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  Postmenopausal bleeding is a condition that can stem from a wide range of factors and occurs once a woman has officially reached the menopause phase. Menopause is defined as the cessation of menstrual periods for one year. Postmenopausal bleeding can range from minor spotting to a heavier flow. While typically patients do not experience pain with this bleeding, its occurrence can range from minor irregularities to indications of more serious health concerns. The most common cause attributed to postmenopausal bleeding is the thinning of the uterine lining. However, there is a wide range of potential causes, including conditions such as fibroids, vaginal atrophy, and endometrial polyps. […] The symptoms associated with postmenopausal bleeding present in a variety of ways. The primary symptom of postmenopausal bleeding is any vaginal bleeding that occurs after a woman has transitioned into menopause. Given that no amount of postmenopausal bleeding is considered normal, its presence warrants medical evaluation. Symptoms can range widely, from slight blood traces to more pronounced heavy flows. In some instances, blood may be noticed during vaginal intercourse. In other instances, it may present similarly to previous patterns of an individuals menstrual bleeding. Beyond bleeding, other related symptoms could include fever, abdominal pain, chills, dizziness, headaches, and alterations in bladder or bowel functionality. Symptoms can range from minor and associated with minimal discomfort to debilitating. Regardless of their severity, postmenopausal bleeding is always a cause for medical attention by the specialists at Evolve Gynecology.

• #63 Post Menopausal Bleeding | McIndoe Centre

  https://www.mcindoecentre.com/post-menopausal-bleeding

  Postmenopausal bleeding is any bleeding after the menopause (i.e when you have not had a period for 12 months), no matter how light, even a brown discharge is classified as postmenopausal bleeding. Postmenopausal bleeding usually occurs because of thinning of the lining of the womb or vagina. Because postmenopausal bleeding may be an early indication of a cancer of the womb it should always be investigated. […] Usually postmenopausal bleeding occurs only once or twice and doesnt recur. With recurrent bleeding from this cause, we prescribe topical estrogen. Usually no treatment is necessary. […] Atrophic vaginitis is when the skin of the vagina gets very thin because of a lack of estrogen. This is the most common cause of postmenopausal bleeding. […] Uterine cancer is the most common cancer found in women with postmenopausal bleeding. We may find this after one episode of bleeding. This usually causes repeated bleeding. Most endometrial cancers present at an early stage because they cause postmenopausal bleeding. […] Some ovarian cancer can present with postmenopausal bleeding. Ovarian cancers can produce estrogen which destabilises the thin postmenopausal endometrium.

• #64 Brown spotting after menopause: 8 causes

  https://www.medicalnewstoday.com/articles/321414

  Experiencing brown discharge or spotting after menopause can sometimes be a sign of an underlying medical condition. […] Brown spotting after menopause is typically a sign of blood mixing into discharge. Or, blood can turn brown or black as it oxidizes and leaves the vagina. […] A person should check any abnormal bleeding or spotting during menopause with a doctor, as it could signal an underlying health issue. […] Vaginal atrophy often causes the vagina to become drier, less flexible, and more susceptible to inflammation or infection than before menopause. Vaginal atrophy may lead to: […] spotting […] bleeding after sex. […] Thick endometrial tissue can cause irregular bleeding or spotting during menopause. […] Certain types of vaginal infections can cause unusually colored discharge that looks like spotting or bleeding after sex.

• #65 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  The duration of postmenopausal bleeding varies significantly among individuals, depending on several factors. Its duration can be influenced by the underlying cause, the length of time since reaching menopause, the patients age, and the extent of bleeding. The variability in duration means that while some instances of postmenopausal bleeding may be brief and acute, others may persist or recur until the underlying cause is addressed. […] Treatment for postmenopausal bleeding at Evolve Gynecology is highly personalized, considering the unique factors of each patients condition. This includes the determined cause of bleeding. An initial comprehensive evaluation that incorporates a review of the patients health history, current medications, and details of the menopausal transition is essential for diagnosing the cause. Depending on this diagnosis, treatments may vary from hormone therapy, which addresses hormonal imbalances via estrogen or progesterone therapy, to surgical interventions for removing polyps or treating endometrial hyperplasia. In cases where postmenopausal bleeding signals the presence of cancer, referrals to specialized oncology treatments are made. Additionally, antibiotics might be prescribed for bleeding related to infections, and personalized health and lifestyle adjustments may be recommended for managing symptoms.

• #66 Post Menopausal Bleeding | McIndoe Centre

  https://www.mcindoecentre.com/post-menopausal-bleeding

  Postmenopausal bleeding is any bleeding after the menopause (i.e when you have not had a period for 12 months), no matter how light, even a brown discharge is classified as postmenopausal bleeding. Postmenopausal bleeding usually occurs because of thinning of the lining of the womb or vagina. Because postmenopausal bleeding may be an early indication of a cancer of the womb it should always be investigated. […] Usually postmenopausal bleeding occurs only once or twice and doesnt recur. With recurrent bleeding from this cause, we prescribe topical estrogen. Usually no treatment is necessary. […] Atrophic vaginitis is when the skin of the vagina gets very thin because of a lack of estrogen. This is the most common cause of postmenopausal bleeding. […] Uterine cancer is the most common cancer found in women with postmenopausal bleeding. We may find this after one episode of bleeding. This usually causes repeated bleeding. Most endometrial cancers present at an early stage because they cause postmenopausal bleeding. […] Some ovarian cancer can present with postmenopausal bleeding. Ovarian cancers can produce estrogen which destabilises the thin postmenopausal endometrium.

• #67 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  The duration of postmenopausal bleeding varies significantly among individuals, depending on several factors. Its duration can be influenced by the underlying cause, the length of time since reaching menopause, the patients age, and the extent of bleeding. The variability in duration means that while some instances of postmenopausal bleeding may be brief and acute, others may persist or recur until the underlying cause is addressed. […] Treatment for postmenopausal bleeding at Evolve Gynecology is highly personalized, considering the unique factors of each patients condition. This includes the determined cause of bleeding. An initial comprehensive evaluation that incorporates a review of the patients health history, current medications, and details of the menopausal transition is essential for diagnosing the cause. Depending on this diagnosis, treatments may vary from hormone therapy, which addresses hormonal imbalances via estrogen or progesterone therapy, to surgical interventions for removing polyps or treating endometrial hyperplasia. In cases where postmenopausal bleeding signals the presence of cancer, referrals to specialized oncology treatments are made. Additionally, antibiotics might be prescribed for bleeding related to infections, and personalized health and lifestyle adjustments may be recommended for managing symptoms.

• #68 Bleeding After Menopause: Causes, Concerns, and SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://roswellobgyn.org/blog/bleeding-after-menopause-causes-concerns-and-solutions/

  Bleeding after menopause accounts for two-thirds of gynecological visits during this period and affects at least 10% of women. Known as postmenopausal bleeding, it affects the majority of this demographic and usually stems from benign causes that are easily manageable. […] For a few women, however, postmenopausal bleeding could be a sign of a more serious underlying issue. To be on the safe side, any postmenopausal bleeding must be brought to the attention of your OB-GYN immediately. […] No matter the case, awareness of serious symptoms is essential to addressing them promptly. […] Altogether, these symptoms should not cause concern unless they feel uncomfortable and disruptive. […] Vaginal atrophy, also known as atrophic vaginitis, occurs when the vaginal walls thin and become inflamed due to a lack of estrogen. This condition is common after menopause and can lead to bleeding, particularly after sexual intercourse.

• #69 Bleeding After Menopause: Causes, Concerns, and SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://roswellobgyn.org/blog/bleeding-after-menopause-causes-concerns-and-solutions/

  Endometrial atrophy is another condition related to the decrease in estrogen levels after menopause. In this condition, the endometrial lining becomes very thin, making blood vessels more fragile and prone to bleeding. […] Polyps are benign growths that can develop in the uterus, cervix, or cervical canal. Hormonal changes often cause these growths and can lead to postmenopausal bleeding. […] Postmenopausal bleeding can also occur as a result of infections of the reproductive tract. […] Certain medications can cause postmenopausal bleeding as a side effect. […] Endometrial hyperplasia is a condition in which the endometrial lining becomes abnormally thickened due to excess estrogen and an absence of progesterone to balance it. […] Endometrial cancer is a type of cancer that starts in the lining of the uterus and is the most common type of uterine cancer that can cause significant postmenopausal bleeding.

• #70 Bleeding After Menopause: Causes, Concerns, and SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://roswellobgyn.org/blog/bleeding-after-menopause-causes-concerns-and-solutions/

  Bleeding after menopause accounts for two-thirds of gynecological visits during this period and affects at least 10% of women. Known as postmenopausal bleeding, it affects the majority of this demographic and usually stems from benign causes that are easily manageable. […] For a few women, however, postmenopausal bleeding could be a sign of a more serious underlying issue. To be on the safe side, any postmenopausal bleeding must be brought to the attention of your OB-GYN immediately. […] No matter the case, awareness of serious symptoms is essential to addressing them promptly. […] Altogether, these symptoms should not cause concern unless they feel uncomfortable and disruptive. […] Vaginal atrophy, also known as atrophic vaginitis, occurs when the vaginal walls thin and become inflamed due to a lack of estrogen. This condition is common after menopause and can lead to bleeding, particularly after sexual intercourse.

• #71 Brown spotting after menopause: 8 causes

  https://www.medicalnewstoday.com/articles/321414

  Experiencing brown discharge or spotting after menopause can sometimes be a sign of an underlying medical condition. […] Brown spotting after menopause is typically a sign of blood mixing into discharge. Or, blood can turn brown or black as it oxidizes and leaves the vagina. […] A person should check any abnormal bleeding or spotting during menopause with a doctor, as it could signal an underlying health issue. […] Vaginal atrophy often causes the vagina to become drier, less flexible, and more susceptible to inflammation or infection than before menopause. Vaginal atrophy may lead to: […] spotting […] bleeding after sex. […] Thick endometrial tissue can cause irregular bleeding or spotting during menopause. […] Certain types of vaginal infections can cause unusually colored discharge that looks like spotting or bleeding after sex.

• #72 Bleeding After Menopause: Causes, Concerns, and SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://roswellobgyn.org/blog/bleeding-after-menopause-causes-concerns-and-solutions/

  Endometrial atrophy is another condition related to the decrease in estrogen levels after menopause. In this condition, the endometrial lining becomes very thin, making blood vessels more fragile and prone to bleeding. […] Polyps are benign growths that can develop in the uterus, cervix, or cervical canal. Hormonal changes often cause these growths and can lead to postmenopausal bleeding. […] Postmenopausal bleeding can also occur as a result of infections of the reproductive tract. […] Certain medications can cause postmenopausal bleeding as a side effect. […] Endometrial hyperplasia is a condition in which the endometrial lining becomes abnormally thickened due to excess estrogen and an absence of progesterone to balance it. […] Endometrial cancer is a type of cancer that starts in the lining of the uterus and is the most common type of uterine cancer that can cause significant postmenopausal bleeding.

• #73 Brown spotting after menopause: 8 causes

  https://www.medicalnewstoday.com/articles/321414

  Some STIs, such as gonorrhea, may cause unusual discharge, spotting, or vaginal bleeding. […] One possible side effect of HRT is vaginal bleeding or spotting. […] Polyps can cause: […] spotting […] irregular bleeding […] heavy bleeding […] bleeding after sex. […] In some cases, vaginal bleeding or spotting after menopause can be a sign of a cancerous growth in the uterus, known as endometrial or uterine cancer. […] Anyone experiencing red, pink, or brown spotting or irregular bleeding after menopause should speak with a doctor. Understanding the cause can help determine the next steps and proper treatment. […] Brown spotting or discharge after menopause may signal an underlying medical condition.

• #74 Postmenopausal Bleeding: Causes and What to Do Next

  https://www.businessinsider.com/guides/health/conditions-symptoms/postmenopausal-bleeding

  Endometrial atrophy, or thinning of the uterine wall, can also cause postmenopausal bleeding. […] Polyps can irritate the surrounding tissue, exposing blood vessels and leading to bleeding or spotting. […] Postmenopausal polyps typically don’t involve noticeable symptoms other than bleeding. […] It can cause heavy or atypical bleeding during perimenopause and after menopause. […] The most common sign of endometrial hyperplasia is irregular bleeding, including: Short menstrual cycles, Unusually long periods, Heavier than normal periods, Missed periods. […] Sometimes, postmenopausal bleeding may suggest uterine or endometrial cancer. […] Since roughly 10% of those who experience postmenopausal bleeding develop cancer of the uterus, it’s essential to get an evaluation whenever postmenopausal bleeding happens.

• #75 Symptoms of Uterine Cancer After Menopause: Bleeding, More

  https://www.healthline.com/health/cancer/symptoms-of-uterine-cancer-after-menopause

  Any vaginal bleeding after menopause could be a symptom of uterine cancer and should be taken seriously. […] Uterine cancer typically presents with vaginal bleeding. Any vaginal bleeding after menopause, even very small amounts, is a cause for concern. […] The most common symptom of uterine cancer is vaginal bleeding. The bleeding may look like your period, like spotting, or like discharge. It often starts as watery streaks of blood and gradually becomes darker. […] Research from 2018 found that 90% of people with uterine cancer experienced postmenopausal bleeding. […] All postmenopausal bleeding is considered abnormal. Talk with a doctor if you experience vaginal bleeding after menopause, especially if its combined with any other symptoms. […] Uterine cancer may not show signs or symptoms until it reaches more advanced stages.

• #76 What causes bleeding after menopause?

  https://blog.walgreens.com/health/womens-health/what-causes-bleeding-after-menopause.html

  Some women over the age of 55 may experience postmenopausal bleeding. […] However, postmenopausal bleeding may indicate a more serious condition, which is why you should see your healthcare provider for this symptom. More than 90% of women who have endometrial cancer experience bleeding. […] Vaginal bleeding after menopause is often due to these changes. The following are some reasons why you might experience postmenopausal bleeding: […] If vaginal atrophy is the cause of postmenopausal bleeding, your healthcare provider may prescribe topical estrogen creams, suppositories, rings or tablets. […] In some cases, hormone replacement therapy and other types of hormone therapies may cause vaginal bleeding after menopause as a side effect. […] Sexually transmitted infections (STIs) and other infections of the cervix or uterine lining can cause the tissue to become inflamed. This can lead to postmenopausal bleeding.

• #77 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  Polyps also can cause vaginal bleeding. If your ob-gyn discovers these benign (noncancerous) growths in your uterus or on your cervix, you might need surgery to remove them. […] Another possibility: You could be bleeding because the lining of your uterus is becoming too thick. In some cases, the cells of the lining can become abnormal, leading to cancer. […] Cancer is the most serious, but also least likely, cause of bleeding after menopause. […] After performing a pelvic exam and an ultrasound, I could tell that Rosas uterine lining was thicker than it should be at her age. […] But Rosa wasnt out of the woods. Her bleeding returned about 3 years later, kicking off the process all over again. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. Chances are, theres no reason for panic. But only through careful evaluation can we be sure what were dealing with.

• #78 Postmenopausal Bleeding: All You Need to Know About Bleeding After Menopause | New Age Women’s Health

  https://www.toplinemd.com/new-age-womens-health/postmenopausal-bleeding-all-you-need-to-know-about-bleeding-after-menopause/

  If you had your last menstrual cycle one or more years ago and you are experiencing vaginal bleeding, this is technically called postmenopausal bleeding. […] Postmenopausal bleeding is when any bleeding occurs after it has been one year or more since your last period. Depending on the patient, the bleeding can be heavy or light (spotting). […] In most cases, postmenopausal bleeding happens due to noncancerous or benign gynecological conditions like endometrial polyps. However, for around 10 percent of female patients, bleeding after menopause may be endometrial or uterine cancer. […] Bleeding after menopause is never normal, and you may require immediate medical attention: Do not ignore heavy flows or light spots after menopause. […] The older you are, the lower the risk: Women who have been in menopause for longer are less likely to experience bleeding after menopause.

• #79 Postmenopausal Bleeding: Causes, Diagnosis, and When to Worry – Sirona

  https://blog.thesirona.com/teenage-puberty-periods/postmenopausal-bleeding/

  If you experience persistent or heavy menopause bleeding that continues for several days or requires the use of sanitary products, it is essential to seek medical advice. This type of bleeding may indicate more serious conditions, such as endometrial hyperplasia or cancer. While it’s important to note that bleeding after menopause is not always cancer, heavy or prolonged bleeding can signal the need for further investigation. […] When bleeding after 10 years of menopause occurs, it is particularly concerning and should be evaluated by a doctor immediately. The longer the time since your last period, the more critical it is to rule out serious conditions. At this stage, light spotting after menopause may still be benign, but the possibility of malignancy increases with time.

• #80 ‘How I knew I had endometrial (uterine) cancer’: Six survivors share symptoms  | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/-how-i-knew-i-had-endometrial-cancer—six-survivors-share-their-symptoms-stories.h00-159621801.html

  Maria Lozano was already well into menopause when she started experiencing the most common symptom of endometrial cancer (also known as uterine cancer): abnormal vaginal bleeding. […] After 10 years of not having my period, suddenly I was bleeding again, says Maria, who was 59 at the time of her stage III endometrial cancer diagnosis. […] Post-menopausal bleeding is actually a wonderful signal the body gives us that something is not right, explains gynecologic oncologist Larissa Meyer, M.D. While not all postmenopausal bleeding is due to cancer, 90% of women with postmenopausal endometrial cancer experienced abnormal vaginal bleeding. […] Unlike ovarian cancer, which is often diagnosed in the later stages due to an absence of clear symptoms, vaginal bleeding after menopause is a sentinel sign of endometrial cancer that drives many people to see the doctor, she adds.

• #81 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Vaginal bleeding occurs in around 90% of people with endometrial cancer, although non-bloody vaginal discharge can also be a sign. Symptoms like pelvic pain, feeling a pelvic mass, or unintentional weight loss typically indicate a more advanced cancer. […] Vaginal bleeding after menopause is never considered normal. Failing to get it checked out may result in worsening symptoms and serious complications like anemia or a cancer that has progressed. […] The treatment of postmenopausal bleeding depends on the underlying cause. For example, surgery may be needed to remove noncancerous growths, such as fibroids or polyps. […] Vaginal bleeding after menopause is not normal and necessitates urgent medical evaluation by an obstetrician-gynecologist. Symptoms of postmenopausal bleeding may range from spotting to heavy flow. Vaginal discharge or accompanying symptoms like pelvic pressure may also occur.

• #82 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  It’s important to note that blood flow does not need to be heavy for a woman to seek guidance from her doctor. Even a single instance of questionable postmenopausal bleeding is worth discussing with a provider. […] Women who experience postmenopausal bleeding usually have positive outcomes. Medication and other treatment options should help to stop bleeding among women whose symptoms are due to non-cancerous causes. […] If a woman experiences postmenopausal bleeding because of endometrial cancer, early detection and treatment will help to improve the outcome. When endometrial cancer is discovered before it spreads, 95% of women survive 5 or more years.

• #83 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years. […] But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s. […] Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers. […] Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope. […] If he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said. […] Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy.

• #84 Abnormal Uterine Bleeding: Postmenopausal and Menopausal Transition | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/1688239/all/Abnormal_Uterine_Bleeding:_Postmenopausal_and_Menopausal_Transition

  Incidence of postmenopausal AUB is as high as 10%, with majority of cases occurring shortly after menopause (1). […] Postmenopausal AUB is uterine bleeding that occurs 1 year after last menstruation or unscheduled bleeding for women taking hormone replacement therapy (HRT). […] Women taking HRT may have irregular bleeding for several months after initiation of therapy. Bleeding that recurs after a long bleed-free period should be considered abnormal and prompt further investigation. […] AUB is most commonly caused by endometrial polyps or atrophy. […] Prevalence of endometrial cancer among postmenopausal women is 0.7% but increases with additional risk factors. Among with postmenopausal AUB, risk of endometrial cancer is significantly higher, approximately 9%. […] If endometrial cancer is found, prognosis depends on the extent of the disease at the time of diagnosis. Most cases when diagnosed early have a 5-year survival rate of 95%. 5-year survival estimates of later stage endometrial cancers ranges from 16% to 45%.

• #85 Bleeding – perimenopausal, postmenopausal and breakthrough bleeding on MHT/HRT – Australasian Menopause Society

  https://menopause.org.au/hp/information-sheets/postmenopausal-bleeding-including-breakthrough-on-mht-hrt

  An endometrial thickness of 4mm has a 99% negative predictive value for malignancy. […] Endometrial biopsy should be performed in women who meet the following criteria: Endometrial thickness 4mm, Persistent PMB, Suspicion of polyp or mass on transvaginal ultrasound. […] Surgical management is appropriate for neoplastic and local lesions causing bleeding. However, women who have heavy or unmanageable breakthrough bleeding in the absence of pathology, may prefer to have a hysterectomy.

• #86 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  Polyps also can cause vaginal bleeding. If your ob-gyn discovers these benign (noncancerous) growths in your uterus or on your cervix, you might need surgery to remove them. […] Another possibility: You could be bleeding because the lining of your uterus is becoming too thick. In some cases, the cells of the lining can become abnormal, leading to cancer. […] Cancer is the most serious, but also least likely, cause of bleeding after menopause. […] After performing a pelvic exam and an ultrasound, I could tell that Rosas uterine lining was thicker than it should be at her age. […] But Rosa wasnt out of the woods. Her bleeding returned about 3 years later, kicking off the process all over again. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. Chances are, theres no reason for panic. But only through careful evaluation can we be sure what were dealing with.

• #87 Is postmenopausal bleeding a concern? – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/postmenopausal-bleeding-should-you-be-concerned

  Women who have experienced a return of bleeding during menopause should consult with their care team right away. […] Simply put, women who experience postmenopausal bleeding should take it seriously and seek medical attention right away. There are many causes of bleeding after menopause. Careful evaluation can determine the cause and best treatment option for you.

• #88 What Causes Post-Menopausal Bleeding? | Trogolo Obstetrics and Gynecology

  https://www.toplinemd.com/trogolo-obstetrics-and-gynecology/what-causes-post-menopausal-bleeding/

  Even though the root of your postmenopausal bleeding may be harmless, it is crucial to contact and visit your doctor right away because it can point to more severe conditions. […] Many causes of postmenopausal bleeding are typically not serious, but if they were to be, cancers are most easily treated when they are detected early. […] Depending on what causes post-menopausal bleeding, your doctor can help determine what treatment or therapy is right for you. […] Prevention of abnormal postmenopausal bleeding is key, and the most effective way to do this is by reducing your risk factors for the conditions that can cause it.

• #89 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #90 When is postmenopausal bleeding cause for concern?

  https://www.healthspan.co.uk/advice/body/when-is-postmenopausal-bleeding-cause-for-concern/?srsltid=AfmBOoou2EGiDUpD5b8K8eNf7qFEHZwhi4eecEqb5nDKmGhkgFyN9kH_

  Irregular bleeding is a key cause of anxiety for women at any stage of life, but, while common, any sort of spotting or bleeding once a woman is postmenopausal is not normal. […] Postmenopausal bleeding may be caused by a range of different factors, and while in most cases it is something minor, it should always be investigated by your doctor to rule out anything serious. […] Sometimes, you may experience other symptoms in addition to your bleeding, if it is a sign of something more serious. […] When experienced along with postmenopausal bleeding, the following are common, yet not exhaustive, red flags that something of wider concern may be going on. […] Being abnormally tired and feeling unusually weak as well as experiencing postmenopausal bleeding may be a sign of anaemia: a deficiency of haemoglobin, the protein molecule in red blood cells.

• #91 When is postmenopausal bleeding cause for concern?

  https://www.healthspan.co.uk/advice/body/when-is-postmenopausal-bleeding-cause-for-concern/?srsltid=AfmBOoou2EGiDUpD5b8K8eNf7qFEHZwhi4eecEqb5nDKmGhkgFyN9kH_

  This lack of oxygen in your body may also cause headaches, ringing in the ears, or make you seem unusually pale. […] Blood in your urine may be a sign of a urinary tract Infection (UTI), haemophilia, a condition where the blood has trouble clotting, which makes it difficult for bleeding to stop, or, in some rare cases, endometrial cancer. […] Abnormal vaginal discharge may be a sign of gonorrhoea or chlamydia, both sexually transmitted infections that can be treated with antibiotics. […] When you visit your GP about your symptoms, they will most likely run a few tests to determine what is causing the bleeding.

• #92 Postmenopausal Vaginal Bleeding

  https://www.uspharmacist.com/article/postmenopausal-vaginal-bleeding

  Although relatively common, vaginal bleeding is considered abnormal when reported in a woman who has passed the onset of menopause. In approximately 20% to 30% of cases of postmenopausal vaginal bleeding, the cause may be attributed to endometrial cancer or atypical endometrial hyperplasia. Additional causes include estrogen or progesterone therapy (i.e., hormone replacement therapy [HRT]) and genital atrophy due to low estrogen levels. […] Although postmenopausal vaginal bleeding remains a cardinal symptom of endometrial cancer, case reports have shown it may be an unusual presenting sign of other diseases as well, including non-Hodgkin lymphoma and pancreatic adenocarcinoma. […] Regardless of the cause, excessive or prolonged bleeding may result in iron deficiency anemia, a condition that may be especially problematic in the elderly. Pharmacists should refer for evaluation any women over the age of 50 who is experiencing vaginal bleeding for more than six months after her last normal menstrual cycle.

• #93 Postmenopausal Bleeding: Causes, Treatments, and Complications

  https://resources.healthgrades.com/right-care/menopause/vaginal-bleeding-after-menopause

  The outlook for people experiencing postmenopausal bleeding depends on the underlying cause. […] Noncancerous conditions that cause postmenopausal bleeding, such as endometrial atrophy or side effects of hormone therapy, may be easily manageable and lead to favorable outcomes. Other conditions, such as gynecologic cancer, may be more challenging to treat. […] It’s essential to contact your doctor as soon as possible if you start to experience postmenopausal bleeding. A prompt diagnosis and proper treatment can lead to better outcomes. […] Because postmenopausal bleeding can be caused by serious conditions, delayed diagnosis and treatment can result in severe complications and permanent damage. Possible complications include anemia, or low red blood cell counts, spread of cancer, spread of infection, transmission of STDs. […] Once the underlying cause is diagnosed, it is important for you to follow your doctor’s treatment plan as closely as possible to reduce the risk of potential complications.

• #94 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  It’s important to note that blood flow does not need to be heavy for a woman to seek guidance from her doctor. Even a single instance of questionable postmenopausal bleeding is worth discussing with a provider. […] Women who experience postmenopausal bleeding usually have positive outcomes. Medication and other treatment options should help to stop bleeding among women whose symptoms are due to non-cancerous causes. […] If a woman experiences postmenopausal bleeding because of endometrial cancer, early detection and treatment will help to improve the outcome. When endometrial cancer is discovered before it spreads, 95% of women survive 5 or more years.

• #95 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #96 Bleeding after menopause: It’s not normal | Cancer | UT Southwestern Medical Center

  https://utswmed.org/medblog/postmenopausal-bleeding/

  Too often I see women with advanced endometrial cancer (uterine cancer) who tell me they experienced postmenopausal bleeding for years but didnt think anything of it. […] Women need to know postmenopausal bleeding is never normal, and it may be an early symptom of endometrial cancer. […] Early diagnosis offers the best chance to beat endometrial cancer. […] Postmenopausal bleeding is a common symptom of endometrial cancer, but it also can be caused by cervical and vulvar cancer. […] Alert your doctor to any changes or abnormal issues such as postmenopausal bleeding as soon as possible.

• #97 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  It’s important to note that blood flow does not need to be heavy for a woman to seek guidance from her doctor. Even a single instance of questionable postmenopausal bleeding is worth discussing with a provider. […] Women who experience postmenopausal bleeding usually have positive outcomes. Medication and other treatment options should help to stop bleeding among women whose symptoms are due to non-cancerous causes. […] If a woman experiences postmenopausal bleeding because of endometrial cancer, early detection and treatment will help to improve the outcome. When endometrial cancer is discovered before it spreads, 95% of women survive 5 or more years.

• #98 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years. […] But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s. […] Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers. […] Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope. […] If he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said. […] Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy.

• #99 Reddit – The heart of the internet

  https://www.reddit.com/r/Menopause/comments/16tkeqn/for_all_to_know_post_menopausal_bleeding/

  Julie was a healthy, post-menopausal woman in my care who came in for a periodic health examination. One of my routine questions, in what is called the Review of Systems, was to ask if she had experienced any vaginal bleeding. […] All health care professionals are taught early on that vaginal bleeding in a post-menopausal woman is Cancer of the Uterus until proven otherwise. […] If you are a post-menopausal woman and your period comes back or you have even one episode of vaginal bleeding, TELL A HEALTH CARE PROFESSIONAL and insist on having it investigated!

• #100 Postmenopausal Bleeding: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding

  Vaginal bleeding after menopause is harmless most of the time. But postmenopausal bleeding can be a sign of a more serious medical condition, such as uterine, cervical or ovarian cancer. […] Not always. While certain cancers can cause bleeding after menopause, cancer isnt the only cause of postmenopausal bleeding. […] Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the most common treatments. […] In most cases, vaginal bleeding after menopause is harmless. But it can be a sign of a more serious condition. […] But in rare cases, bleeding could be a sign of cancer.

• #101 Postmenopausal bleeding

  https://www.nhs.uk/conditions/post-menopausal-bleeding/

  Menopause is usually diagnosed in women over 45 who have not had a period for more than a year. Any bleeding from the vagina after this time needs to be checked by a GP. […] You have postmenopausal bleeding, even if: […] Postmenopausal bleeding is not usually serious, but can be a sign of cancer. Cancer may be easier to treat if it’s found early. […] There can be several causes of postmenopausal bleeding. […] Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian cancer and womb cancer. […] Treatment for postmenopausal bleeding depends on what’s causing it.

• #102 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  The duration of postmenopausal bleeding varies significantly among individuals, depending on several factors. Its duration can be influenced by the underlying cause, the length of time since reaching menopause, the patients age, and the extent of bleeding. The variability in duration means that while some instances of postmenopausal bleeding may be brief and acute, others may persist or recur until the underlying cause is addressed. […] Treatment for postmenopausal bleeding at Evolve Gynecology is highly personalized, considering the unique factors of each patients condition. This includes the determined cause of bleeding. An initial comprehensive evaluation that incorporates a review of the patients health history, current medications, and details of the menopausal transition is essential for diagnosing the cause. Depending on this diagnosis, treatments may vary from hormone therapy, which addresses hormonal imbalances via estrogen or progesterone therapy, to surgical interventions for removing polyps or treating endometrial hyperplasia. In cases where postmenopausal bleeding signals the presence of cancer, referrals to specialized oncology treatments are made. Additionally, antibiotics might be prescribed for bleeding related to infections, and personalized health and lifestyle adjustments may be recommended for managing symptoms.

• #103 Postmenopausal Bleeding: All You Need to Know About Bleeding After Menopause | New Age Women’s Health

  https://www.toplinemd.com/new-age-womens-health/postmenopausal-bleeding-all-you-need-to-know-about-bleeding-after-menopause/

  If you are experiencing bleeding after menopause, you should be seen by a gynecologist immediately. […] There are numerous causes of spotting or bleeding after menopause. Some of them include: Vaginal or endometrial atrophy (the uterus’s or vagina’s lining becomes very thin and dry), HRT or hormone replacement therapy (progesterone and estrogen medications), Endometrial hyperplasia (the uterus’s lining gets very thick), Uterine polyps (abnormal growths within the uterus), Uterine or endometrial cancer (the cancer is within the uterus’s lining). […] Whether you are dealing with spotting after menopause or heavy bleeding, you want to consult with a medical expert for diagnosis immediately. […] If you are dealing with bleeding or spotting after menopause, some medications include: Estrogen and progestin, Antibiotics to treat infections of the uterus and the cervix.

• #104 What causes bleeding after menopause?

  https://blog.walgreens.com/health/womens-health/what-causes-bleeding-after-menopause.html

  Some women over the age of 55 may experience postmenopausal bleeding. […] However, postmenopausal bleeding may indicate a more serious condition, which is why you should see your healthcare provider for this symptom. More than 90% of women who have endometrial cancer experience bleeding. […] Vaginal bleeding after menopause is often due to these changes. The following are some reasons why you might experience postmenopausal bleeding: […] If vaginal atrophy is the cause of postmenopausal bleeding, your healthcare provider may prescribe topical estrogen creams, suppositories, rings or tablets. […] In some cases, hormone replacement therapy and other types of hormone therapies may cause vaginal bleeding after menopause as a side effect. […] Sexually transmitted infections (STIs) and other infections of the cervix or uterine lining can cause the tissue to become inflamed. This can lead to postmenopausal bleeding.

• #105 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Vaginal bleeding occurs in around 90% of people with endometrial cancer, although non-bloody vaginal discharge can also be a sign. Symptoms like pelvic pain, feeling a pelvic mass, or unintentional weight loss typically indicate a more advanced cancer. […] Vaginal bleeding after menopause is never considered normal. Failing to get it checked out may result in worsening symptoms and serious complications like anemia or a cancer that has progressed. […] The treatment of postmenopausal bleeding depends on the underlying cause. For example, surgery may be needed to remove noncancerous growths, such as fibroids or polyps. […] Vaginal bleeding after menopause is not normal and necessitates urgent medical evaluation by an obstetrician-gynecologist. Symptoms of postmenopausal bleeding may range from spotting to heavy flow. Vaginal discharge or accompanying symptoms like pelvic pressure may also occur.

• #106 Postmenopausal Bleeding: All You Need to Know About Bleeding After Menopause | New Age Women’s Health

  https://www.toplinemd.com/new-age-womens-health/postmenopausal-bleeding-all-you-need-to-know-about-bleeding-after-menopause/

  If you are experiencing bleeding after menopause, you should be seen by a gynecologist immediately. […] There are numerous causes of spotting or bleeding after menopause. Some of them include: Vaginal or endometrial atrophy (the uterus’s or vagina’s lining becomes very thin and dry), HRT or hormone replacement therapy (progesterone and estrogen medications), Endometrial hyperplasia (the uterus’s lining gets very thick), Uterine polyps (abnormal growths within the uterus), Uterine or endometrial cancer (the cancer is within the uterus’s lining). […] Whether you are dealing with spotting after menopause or heavy bleeding, you want to consult with a medical expert for diagnosis immediately. […] If you are dealing with bleeding or spotting after menopause, some medications include: Estrogen and progestin, Antibiotics to treat infections of the uterus and the cervix.

• #107 Postmenopausal Bleeding – My Condition – MyHealth Devon

  http://myhealth-devon.nhs.uk/my-condition/postmenopausal-bleeding

  If you have not had a hysterectomy, then it is most likely that your GP will refer you to gynaecology using the two-week wait pathway. This means that you will see a specialist gynaecologist within two weeks. Although this pathway is for possible cancer, it is still more likely that your bleeding is due to one of the less serious causes. […] Treatment depends on whats causing your bleeding: Cancer: total hysterectomy will often be recommended. You are likely to be looked after by a multi-disciplinary team including an oncologist (cancer expert). They will recommend what other treatments you should undergo such as radiotherapy or chemotherapy. You will also be supported by specialist nurses in the team.

• #108 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years. […] But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s. […] Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers. […] Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope. […] If he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said. […] Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy.

• #109 Is postmenopausal bleeding a concern? – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/postmenopausal-bleeding-should-you-be-concerned

  Women who have experienced a return of bleeding during menopause should consult with their care team right away. […] Simply put, women who experience postmenopausal bleeding should take it seriously and seek medical attention right away. There are many causes of bleeding after menopause. Careful evaluation can determine the cause and best treatment option for you.

• #110 Postmenopausal Bleeding: Causes, Treatments, and Complications

  https://resources.healthgrades.com/right-care/menopause/vaginal-bleeding-after-menopause

  The outlook for people experiencing postmenopausal bleeding depends on the underlying cause. […] Noncancerous conditions that cause postmenopausal bleeding, such as endometrial atrophy or side effects of hormone therapy, may be easily manageable and lead to favorable outcomes. Other conditions, such as gynecologic cancer, may be more challenging to treat. […] It’s essential to contact your doctor as soon as possible if you start to experience postmenopausal bleeding. A prompt diagnosis and proper treatment can lead to better outcomes. […] Because postmenopausal bleeding can be caused by serious conditions, delayed diagnosis and treatment can result in severe complications and permanent damage. Possible complications include anemia, or low red blood cell counts, spread of cancer, spread of infection, transmission of STDs. […] Once the underlying cause is diagnosed, it is important for you to follow your doctor’s treatment plan as closely as possible to reduce the risk of potential complications.

• #111 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #112

  https://www.everlywell.com/blog/womens-health/bleeding-after-menopause/?srsltid=AfmBOorwGDgX1NEKg217hN2yHo42W0RLg8EVXgMjfhVMACMacdvtYz3I

  Menopause marks the end of a womans menstrual cycles, meaning that you shouldnt have a period anymore. However, some women still experience bleeding after menopause. […] The short answer to this question is no. Postmenopausal women shouldnt experience bleeding because menopause is the end of a womans menstrual cycle. While some women do experience postmenopausal vaginal bleeding, this type of bleeding isnt normal. As a result, you should visit your doctor if youre still bleeding as a postmenopausal woman. […] According to an analysis published in JAMA Internal Medicine, abnormal vaginal bleeding after menopause is typically caused by a noncancerous condition. Some of the most common examples include vaginal atrophy (atrophic vaginitis), endometrial atrophy, uterine fibroids, and endometrial polyps.

• #113 Postmenopausal Bleeding: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding

  Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about 10% of women, bleeding after menopause is a sign of uterine cancer. […] In most cases, postmenopausal bleeding is due to benign (noncancerous) conditions and isnt a cause for worry. But for about 10% of women, bleeding after menopause is an early sign of uterine cancer (cancer in the lining of your uterus). […] Any vaginal bleeding that occurs more than a year after your last menstrual period is unusual. This includes light bleeding or spotting, pink or brown discharge and heavy bleeding, even if it only happens once or twice. […] Postmenopausal bleeding occurs in about 10% of women over 55.

• #114 Bleeding – perimenopausal, postmenopausal and breakthrough bleeding on MHT/HRT – Australasian Menopause Society

  https://menopause.org.au/hp/information-sheets/postmenopausal-bleeding-including-breakthrough-on-mht-hrt

  Postmenopausal bleeding (PMB) refers to any vaginal bleeding that occurs in a menopausal woman ie. 12 months after their final menstrual period. […] Any postmenopausal bleeding requires investigation to exclude a sinister cause. The likelihood of endometrial carcinoma for a woman presenting with PMB is 10%. However, around 95% of women with endometrial malignancy will present with PMB. […] Bleeding should be investigated if it occurs after six months use of CCMHT or tibolone, or starts after amenorrhoea has been established on this regimen. […] The primary goal of investigation is to exclude malignancy, and secondarily to elucidate a treatable non-malignant cause. […] Endometrial ultrasound is the initial investigation of choice. […] Tamoxifen therapy is associated with stimulation of the endometrium and an increased risk of endometrial cancer.

• #115 Bleeding After Menopause Could Be a Problem. Here’s What to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/bleeding-after-menopause-could-be-a-problem-heres-what-to-know

  My patient Rosa has come to my office for an appointment, but its not for her annual visit. Instead, shes here for vaginal bleeding that has taken her by surprise. Rosa is a woman in her mid-60s whos well past menopause. […] Most women who experience bleeding after menopause are understandably concerned. After all, they thought they were done with it. (Menopause is officially confirmed if it has been 1 year since your last menstrual period.) […] Postmenopausal bleeding can range from light spotting that is pinkish-gray or brown, all the way to a heavy flow, like a regular period. Most of the time, there is no pain with the bleeding. […] Bleeding after menopause is not normal, so take it seriously. Go directly to your ob-gyn. […] One reason for postmenopausal bleeding could be that the tissue of your vagina and vulva has gotten thinner. This can happen during menopause due to hormone changes.

• #116 Postmenopausal Bleeding: Causes in Women Over 50

  https://www.verywellhealth.com/postmenopausal-bleeding-8406586

  Bleeding sometimes, but not always, suggests endometrial cancer. […] Postmenopausal bleeding is bleeding from the vagina that occurs after menopause. […] While postmenopausal bleeding often stems from benign (noncancerous) conditions, it can be the first sign of endometrial (uterine) cancer. As such, vaginal bleeding after menopause requires prompt medical attention from a healthcare provider. […] Vaginal bleeding after menopause can manifest in different ways. Any type warrants a medical evaluation. […] Postmenopausal bleeding may involve: A streak or drop of blood on underwear or toilet paper, Light bleeding (spotting), Bleeding that is similar to menstrual periods before menopause, Heavy bleeding with or without blood clots, Bleeding that occurs after sex, Pink, gray, or brown vaginal discharge.

• #117 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  Abnormal vaginal bleeding that occurs during menopause. […] Symptoms include vaginal bleeding, abdominal pain, fever, chills, headache. […] Postmenopausal bleeding refers to any vaginal bleeding that occurs in a menopausal woman. Because all postmenopausal bleeding is considered abnormal, it’s important to contact your provider if this occurs. […] In some cases, this type of abnormal bleeding may be a sign of endometrial cancer, the most commonly diagnosed gynecological cancer. More than 90% of postmenopausal women with endometrial cancer experience vaginal bleeding (postmenopausal bleeding). […] Any vaginal bleeding after menopause is considered to be postmenopausal bleeding. Different women can experience bleeding differently, however. […] Some women with postmenopausal bleeding may also experience abdominal pain, fever, chills, headache, dizziness, changes in bladder and/or bowel function.

• #118 Postmenopausal Bleeding Diagnosis & Treatment in Las Vegas NV

  https://evolvegynecology.com/postmenopausal-bleeding

  The duration of postmenopausal bleeding varies significantly among individuals, depending on several factors. Its duration can be influenced by the underlying cause, the length of time since reaching menopause, the patients age, and the extent of bleeding. The variability in duration means that while some instances of postmenopausal bleeding may be brief and acute, others may persist or recur until the underlying cause is addressed. […] Treatment for postmenopausal bleeding at Evolve Gynecology is highly personalized, considering the unique factors of each patients condition. This includes the determined cause of bleeding. An initial comprehensive evaluation that incorporates a review of the patients health history, current medications, and details of the menopausal transition is essential for diagnosing the cause. Depending on this diagnosis, treatments may vary from hormone therapy, which addresses hormonal imbalances via estrogen or progesterone therapy, to surgical interventions for removing polyps or treating endometrial hyperplasia. In cases where postmenopausal bleeding signals the presence of cancer, referrals to specialized oncology treatments are made. Additionally, antibiotics might be prescribed for bleeding related to infections, and personalized health and lifestyle adjustments may be recommended for managing symptoms.

• #119 Postmenopausal Bleeding – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562188/

  Vaginal bleeding is reported in up to 10% of postmenopausal women and is the presenting symptom for approximately two-thirds of gynecologic office visits in this population. […] However, the incidence of PMB may decrease with age. With the onset of menopause, bleeding is reported in approximately 40% of women per year, but 3 years after menopause, PMB decreases to 4% per year. […] Over 90% of postmenopausal women with endometrial cancer present with PMB. […] The most common etiology for postmenopausal bleeding is an atrophic endometrium. […] The hypoestrogenic environment following menopause leads to genitourinary atrophy. […] Chronic endometritis secondary to atrophy can present with vaginal spotting or light bleeding. […] The primary complication of PMB is secondary anemia, which occurs in approximately 10% of postmenopausal women. […] PMB has a favorable prognosis, as the most common etiologies are benign and treatable. Furthermore, the prognosis for the most common malignant PMB etiology, endometrial cancer, is significantly better than other cancers, with a 5-year survival rate of 90%.

• #120 Closer Look at Postmenopausal Bleeding and Endometrial Cancer – NCI

  https://www.cancer.gov/news-events/cancer-currents-blog/2018/endometrial-cancer-bleeding-common-symptom

  Overall, the analysis showed that, consistent with what had been seen in earlier studies, 90% of women diagnosed with endometrial cancer had experienced postmenopausal bleeding. […] The number of women with postmenopausal bleeding who were diagnosed with endometrial cancer varied around the globe. While the rate was 9% overall, it ranged from 5% in North America to 13% in Western Europe. […] It’s only if there’s persistent bleeding after the initial 6 months of [hormone replacement] that it may be more concerning and should trigger testing for endometrial cancer, she said. […] The findings confirm that „postmenopausal women with [vaginal] bleeding have a low risk of endometrial cancer, but the vast majority of women with endometrial cancer present with bleeding. It’s just a way to think about it from two different directions,” explained Dr. Chu. […] women should know that getting tested if they have postmenopausal bleeding „gives us an opportunity to [potentially] detect endometrial cancer early, which provides a high likelihood of cure.

• #121 Postmenopausal Bleeding > Fact Sheets > Yale Medicine

  https://www.yalemedicine.org/conditions/postmenopausal-bleeding

  It’s important to note that blood flow does not need to be heavy for a woman to seek guidance from her doctor. Even a single instance of questionable postmenopausal bleeding is worth discussing with a provider. […] Women who experience postmenopausal bleeding usually have positive outcomes. Medication and other treatment options should help to stop bleeding among women whose symptoms are due to non-cancerous causes. […] If a woman experiences postmenopausal bleeding because of endometrial cancer, early detection and treatment will help to improve the outcome. When endometrial cancer is discovered before it spreads, 95% of women survive 5 or more years.

• #122 5 Things to Know About Postmenopausal Bleeding | Fox Chase Cancer Center – Philadelphia PA

  https://www.foxchase.org/blog/5-things-know-about-postmenopausal-bleeding

  If endometrial cancer is found early, a woman has a 95 percent chance of surviving the cancer for at least 5 years. […] But women whove been postmenopausal for a while still need to pay attention to any bleedingendometrial cancer most commonly affects women in their mid-60s. […] Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers. […] Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope. […] If he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said. […] Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy.

• #123 Reddit – The heart of the internet

  https://www.reddit.com/r/Menopause/comments/16tkeqn/for_all_to_know_post_menopausal_bleeding/

  Julie was a healthy, post-menopausal woman in my care who came in for a periodic health examination. One of my routine questions, in what is called the Review of Systems, was to ask if she had experienced any vaginal bleeding. […] All health care professionals are taught early on that vaginal bleeding in a post-menopausal woman is Cancer of the Uterus until proven otherwise. […] If you are a post-menopausal woman and your period comes back or you have even one episode of vaginal bleeding, TELL A HEALTH CARE PROFESSIONAL and insist on having it investigated!

• #124 ‘How I knew I had endometrial (uterine) cancer’: Six survivors share symptoms  | MD Anderson Cancer Center

  https://www.mdanderson.org/cancerwise/-how-i-knew-i-had-endometrial-cancer—six-survivors-share-their-symptoms-stories.h00-159621801.html

  About 75% of patients diagnosed with endometrial cancer are already in menopause. […] So, the bottom line is that if you have concerns about your cycle, or if you think you’re experiencing abnormal bleeding or any other symptom of endometrial cancer, talk to your gynecologist, she says. And, if you’re already in menopause and start bleeding again, get checked out. Because that’s not normal. Periods don’t just suddenly start up again years after they’ve stopped.

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