Post-menopause periods: what bleeding may mean

Menopause is reached after periods have stopped for a sustained time. After that point, bleeding may come from thinner vaginal or cervical tissue, a polyp, infection, fibroids, or changes in the womb lining. Cervical or womb cancer is another possible cause, which is why the symptom should not be dismissed.

Bleeding can be bright red, pink, or brown and may occur once or repeatedly. Tell the clinician whether it followed sex, whether you have pelvic pain or discharge, and whether you use hormone treatment or medicines that affect bleeding.

Contact a GP or gynaecologist promptly and describe the first day of bleeding, its amount, and any associated symptoms. Keep pads or a record available if helpful, and take your medicine list to the appointment.

The clinician may examine the vagina and cervix and arrange tests or imaging. The evaluation is intended to identify the source; do not assume that a single light episode can explain itself.

Seek urgent help if bleeding is heavy, you feel faint, or you develop severe abdominal or pelvic pain, fever, or unusual discharge. Otherwise, arrange prompt assessment for any bleeding after menopause, even if it has stopped.

Ask which examinations and tests are appropriate, whether your medicines or hormone treatment may contribute, and when you should expect results. Ask what amount of bleeding or which new symptom should lead you to seek earlier help.