A period after two years without one

After menopause, the lining of the womb is no longer expected to shed in regular cycles. Bleeding can result from thinning or irritation of vaginal or womb tissues, benign growths, medication effects, or changes in the womb lining. Less commonly, it can be an early sign of a serious condition, so the cause cannot be confirmed from the timing or amount alone.

Record when the bleeding began, how long it lasted, whether it was spotting or a flow, and whether it followed sex. Mention discharge, pelvic pain, pressure, or urinary symptoms. These details help guide assessment.

Contact a GP or gynaecology service and explain that you have bleeding after menopause. Do not wait for another episode before making contact. Bring a list of medicines, including hormone therapy or blood thinners, and note any recent vaginal treatment or procedure.

Assessment may include an examination and imaging or a sample from the womb lining, depending on your symptoms and clinical history. Ask what each test is checking and how you will receive the result.

Seek urgent help if bleeding is heavy or continuous, or if it comes with severe pain, dizziness, fainting, weakness, fever, or shortness of breath. Otherwise, arrange a prompt routine appointment: light spotting still deserves review after menopause.

Ask what may be causing the bleeding, which examination or tests you recommend, and whether any medicine could contribute. Ask when to expect results and which changes should lead you to seek urgent care.