When to worry about bleeding after menopause with womb cancer

Womb cancer begins in the lining or other tissues of the womb. Changes in that tissue can make it bleed, causing spotting, pink or watery discharge, or a flow after menopause. Bleeding may be painless, but pelvic discomfort, pressure, unusual discharge, or tiredness can also occur. Other causes include thinning vaginal tissue, polyps, infection, or medicines, so an assessment is needed to identify the source.

Tell your gynaecology or cancer team about every episode, even if it stops on its own. Note the amount, colour, duration, recurrence, and any relation to sex or activity. Share pain, discharge, urinary or bowel symptoms, and current medicines. Your clinician may recommend an examination and tests such as ultrasound or sampling of the womb lining, depending on your history and diagnosis.

Get urgent help for heavy or continuous bleeding, fainting, dizziness, severe weakness, shortness of breath, or intense abdominal or pelvic pain. Fever, confusion, or inability to pass urine also requires urgent assessment. Do not delay because the bleeding is light if it keeps returning or is accompanied by new symptoms.

Ask what the bleeding suggests in your situation, which tests are planned, and whether medicines or treatment can contribute. Clarify how to record symptoms, which signs need same-day help, and who to call if bleeding occurs between appointments.