Got a period after menopause

Menopause is reached after twelve months without a menstrual period. Bleeding afterwards can come from thinning or irritation of the vaginal or cervical tissues, polyps, hormone treatment, infection, or changes in the womb lining. Less commonly, it can be linked with a cancer of the reproductive organs. The amount of blood does not reliably show the cause, so light spotting deserves attention too.

Arrange an appointment with a gynaecologist or primary-care clinician and record when the bleeding began, how long it lasted, and whether it followed sex. Bring a list of medicines, including hormone therapy and blood thinners. Assessment may include an examination, ultrasound, or a sample from the womb lining. Do not restart or stop prescribed hormones without advice.

Seek urgent medical help if bleeding is heavy, you feel faint or weak, severe pelvic pain develops, or you have fever or worsening illness. Otherwise, contact a clinician promptly rather than waiting for another episode.

Ask what examinations are needed, whether your medicines could contribute, and when results will be available. You can also ask what symptoms should prompt faster review.