What does bleeding after menopause feel like with endometrial hyperplasia?

Endometrial hyperplasia is an overgrowth of the lining inside the womb. Bleeding may be light spotting, pink or brown staining, or heavier bleeding that resembles a period. It can be intermittent, and some people have watery or blood-stained discharge. Cramping or pelvic pressure may occur, but there may be no pain.

The appearance of bleeding cannot show whether hyperplasia is present. Other causes include vaginal dryness, polyps, medicines, and womb cancer. Assessment matters because some forms of hyperplasia can change over time and need treatment or monitoring.

Arrange a prompt appointment with a doctor or gynaecology service, even if the bleeding has stopped. Tell them when it happened, how much blood you saw, and whether you use hormone treatment or medicines that affect clotting. Tests may include a pelvic examination, ultrasound, and a sample from the womb lining.

Get urgent help if bleeding is heavy, you feel faint or weak, or you develop severe pain, fever, or shortness of breath. If symptoms are mild, book a medical review rather than waiting for another episode. Follow-up is particularly important when previous tests showed a thickened womb lining or hyperplasia.

Ask whether you need an ultrasound or womb-lining biopsy, which type of hyperplasia is being considered, and what treatment or follow-up may be needed. Ask how to recognise bleeding that needs urgent attention.