Period after six months of menopause

Six months without bleeding can occur during the transition toward menopause, when cycles may still be irregular. It does not by itself confirm that menopause has been reached. Bleeding may reflect changing hormones, irritation or thinning of the vaginal lining, a polyp, medication effects or another condition. The pattern and timing help a clinician decide what to investigate.

Record the date, colour and amount, and whether it followed sex or came with pain, itching, discharge or urinary symptoms. Mention contraception, hormone treatment and medicines that affect clotting.

Book an appointment with a qualified clinician, particularly if the bleeding repeats or you had already been told you were postmenopausal. They may recommend an examination, pregnancy testing when relevant, or imaging based on your history. Do not change prescribed hormone treatment on your own. A pad can help you observe the amount more reliably.

Seek urgent care if bleeding is heavy, does not settle, or is accompanied by severe pelvic pain, fainting, dizziness, fever or unusual weakness. If you feel stable and saw only a small amount, arrange a prompt routine review rather than assuming it is a normal period.

Ask whether you are in the menopause transition, what tests may clarify the cause, and whether your medicines or hormone treatment affect the bleeding. Check how to report another episode.