What should you know about having a period after menopause?

Bleeding after menopause is not a normal period and should be assessed, even when it is light or happens only once. Menopause is reached after periods have stopped for a sustained interval; bleeding afterwards may come from thin vaginal or womb tissues, polyps, hormone treatment, infection or other conditions. Assessment helps identify the source rather than assuming the bleeding is a returning cycle.

A clinician may consider vaginal dryness, irritation, cervical changes, Pelvic Organ Prolapse, polyps or changes in the womb lining. Some causes are harmless, but bleeding can also be an early sign of a serious womb problem, so its appearance does not reliably show the cause. Tell the clinician about hormone therapy, blood thinners, pain, discharge and whether you have had symptoms such as Hot Flushes or Night Sweats.

Contact a GP or gynaecology service and describe the colour, amount, timing and source of the blood. Bring a list of medicines, hormone treatments and relevant medical history. Assessment may include an examination, ultrasound and sometimes a sample from the womb lining. Do not wait for another episode before seeking advice, and do not stop prescribed treatment without discussing it.

Arrange prompt medical review for any bleeding after menopause. Seek urgent care if bleeding is heavy, you feel faint or weak, or it comes with severe pelvic pain, fever or shortness of breath. Emergency help is appropriate for collapse, severe dizziness or bleeding that is difficult to control.

Ask what may be causing the bleeding, which examination or scan is recommended, and whether a womb-lining sample is needed. Check how to manage hormone medicines and which symptoms should lead you to seek urgent help.