Menopause heavy bleeding treatment: what to know

Hormone fluctuations can make ovulation irregular and periods heavier or less predictable before periods stop. Fibroids, polyps, adenomyosis, thyroid problems, bleeding disorders, medicines, and changes in the womb lining can also contribute. Bleeding after menopause is not treated as a routine period; it needs assessment even when it is light.

Arrange an appointment and record bleeding days, clots, pain, dizziness, and medicines such as blood thinners. A clinician may examine you and arrange blood tests or imaging; sometimes a sample of the womb lining is needed. Treatment may include medicine to reduce bleeding, hormone-based treatment, or a procedure aimed at the identified cause. The suitable choice depends on your health and reproductive history.

Seek emergency care if bleeding is soaking through protection repeatedly, or if it comes with faintness, marked weakness, shortness of breath, chest discomfort, or severe pelvic pain. Contact a clinician promptly for any bleeding after periods have stopped, bleeding after sex, or a new pattern that keeps returning.

Ask what may be causing the bleeding, whether you need blood tests or womb imaging, and which treatments fit your medical history. Ask how to recognise anaemia and what to do if bleeding becomes heavier while waiting for review.