Period after menopause with cramps

Cramping can happen when the uterus contracts or nearby tissues are irritated. Bleeding may be linked with a thin vaginal or uterine lining, a polyp, infection, hormone treatment, or another pelvic problem. Cancer is another possible cause, which is why the combination should not be self-diagnosed. The presence of cramps does not show which explanation applies.

Pain may be central, one-sided, constant or wave-like. Note its severity in everyday terms, when it began, whether it is worsening, and whether you have discharge, fever, vomiting, bowel changes or urinary discomfort.

Contact a gynaecology service for an appointment and describe both the bleeding and the pain. Bring a list of medicines, including hormones and blood thinners. A clinician may examine the pelvis and decide whether imaging or other testing is needed. Rest, hydration and a suitable over-the-counter pain medicine may help while you arrange care, provided it is safe for you and used as directed.

Go to urgent care for severe or rapidly worsening pain, heavy bleeding, faintness, marked weakness, fever, repeated vomiting, or a swollen or very tender abdomen. Do not wait for a routine appointment if you feel acutely unwell. Mild cramps do not remove the need to have postmenopausal bleeding checked.

Ask which causes fit your symptoms, whether an examination or imaging is recommended, how to manage pain safely, and what change in bleeding should trigger urgent review.