Post-Menopausal Bleeding

Bleeding after menopause is unusual and should be medically evaluated. up to 10% of women with postmenopausal bleeding have endometrial cancer, therefore all the women should be investigated.

Several causes of postmenopausal bleeding may be:

  • Cancer of the uterus, cervix, or vagina. This includes uterine sarcoma and endometrial cancer.
  • Vaginal or endometrial atrophy, which is when the uterus tissue lining becomes thin.
  • Uterine polyps or fibroids.
  • Endometritis (uterine lining infection).
  • Medication involving hormone therapy or tamoxifen.
  • Pelvic trauma.
  • Urinary tract or rectum bleeding.
  • Endometrial hyperplasia, excess growth of uterus lining cells.

Postmenopausal bleeding is investigated with: ­

  • Blood test
  • Swab
  • Colposcopy
  • Pap smear
  • Hysteroscopy
  • Endometrial or cervical biopsy

Available treatments:

  • Hormonal treatment
  • Surgical treatment: hysteroscopy, endometrial biopsy/polypectomy.