Vaginal Bleeding after Menopause

Pelvis | Gynecology | Vaginal Bleeding after Menopause (Symptom)


Postmenopausal bleeding is defined as bleeding that comes one year of amenorrhea in a woman not receiving hormone therapy. Women with continuous therapy with estrogen and progesterone can expect some irregular vaginal bleeding, especially in the first six months. This bleeding should stop in a year. Women who have estrogen and progesterone cycle should have a regular bleeding for a while after stopping progesterone. Patients that require investigation include: women with postmenopausal bleeding any, staining of blood on your underwear or vaginal discharge if hormone therapy; women with hormone therapy continue to have bleeding at 6 months of starting treatment.


Causes of postmenopausal bleeding can be: hormone therapy-estrogen; atrophy of the vagina and uterus; cervical polyps or uterine-endometrial hyperplasia, uterine cancer, cervical or vaginal. Endometrial and vaginal atrophy is the most common of these bleeding but more sinister etiologies such as carcinoma should be excluded as a diagnosis. Patients at risk for endometrial cancer are obese, diabetic and / or hypertensive, nulliparous, who exogenous estrogens or those who have entered menopause late. If a woman is menopausal or postmenopausal and estrogen therapy (in Cycle) and progestin 10-12 days per month, may have bleeding like menstruation, days per month. These are known as withdrawal bleeding.

Diagnosis and Treatmen

Women who experience other than withdrawal bleeding should consult a physician. If a woman is in menopausal or postmenopausal hormone therapy and is in continuous, combined estrogen-progestin - take a combination of estrogen and progesterone in small amounts daily, spotting, irregular, is common in the first six months of combination therapy. If bleeding persists after six months or heavy bleeding occurs it is best to consult a doctor.

If a woman is menopausal or postmenopausal and not under any hormonal treatment, any vaginal bleeding requires medical attention. In older women, postmenopausal vaginal bleeding can be associated with a gynecologic cancer location, but may be due to non-cancerous diseases. There are clear risk factors for cancer of the uterus, cervix and vagina.