Can uterine sarcoma cause bleeding after menopause?

Uterine sarcoma is a rare cancer that begins in tissues of the uterus. Bleeding after menopause can occur when abnormal tissue affects the uterine lining or nearby blood vessels. Bleeding may be spotting, pink or watery discharge, or a heavier flow. Pelvic pressure, pain, or a growing abdomen may occur as well, but symptoms vary.

Bleeding after menopause also has non-cancer causes, including thinning vaginal or uterine tissues, polyps, or hormone-related changes. A clinician may perform an examination, arrange an ultrasound, and recommend sampling of the uterine lining when appropriate.

Contact a healthcare professional promptly about any bleeding after menopause, even if it happens once or seems light. Note the colour, amount, duration, triggers, pain, discharge, and medicines such as hormone therapy or blood thinners. Bring this information to the appointment; it helps guide the examination and testing.

Use urgent services for heavy or continuous bleeding, dizziness, fainting, severe pelvic pain, shortness of breath, or marked weakness. Seek prompt medical review for recurrent spotting, watery discharge, new pelvic pressure, or bleeding with a possible medication change. Do not wait for symptoms to become severe before arranging assessment.

Ask what may be causing the bleeding, which examination or imaging is needed, and whether a tissue sample is recommended. Discuss how quickly results are expected, what symptoms should trigger urgent help, and which medicines or products to pause only if your clinician advises it.