How common is bleeding after menopause in endometrial hyperplasia?

Endometrial hyperplasia is a thickening of the lining of the uterus. When the lining becomes uneven or unstable, it can cause spotting, pink discharge or bleeding after menopause. Some forms have abnormal cell changes that need closer follow-up, while others do not; symptoms alone cannot show which type is present.

Bleeding after menopause can also come from vaginal dryness, polyps, medicines or other conditions. The important distinction is made through an examination and, when needed, a sample of the womb lining.

Contact a healthcare professional about any bleeding after menopause, even if it is brief. Write down when it happened, its colour and amount, and whether pain or discharge accompanied it. Your clinician may arrange an ultrasound to assess the lining and recommend a tissue sample when appropriate. Explore [Endometrial Hyperplasia](/conditions/endometrial-hyperplasia/) and [Bleeding After Menopause](/symptoms/postmenopausal-bleeding/).

Seek urgent care for heavy or ongoing bleeding, dizziness, fainting, severe pelvic pain, fever or sudden worsening. Prompt help is especially important if you feel unable to stand safely or are becoming weak.

Could the womb lining be thickened? Do I need an ultrasound or tissue sample? What did the result show about the cells? What follow-up will monitor the lining?