Are You Bleeding After Menopause?
The causes of bleeding after menopause will need to be established by your doctor. They will generally order various tests, including a pap smear, a blood test to determine hormone levels, as well as conduct a pelvic examination to see if the ovaries and uterus are normal.
If there are abnormalities, they may order further exams, especially if the post menopause bleeding doesn’t stop.
Spotting after menopause is quite common, as this article discusses. Spotting can occur in women who are on hormone replacement therapy, and those who don’t take it. Like periods after menopause, spotting is usually a consequence of hormonal imbalance. Other symptoms of hormonal imbalances, such as breast tenderness, accompanying bleeding usually indicate that it’s a period.
Whilst periods after menopause can also be a result of hormonal fluctuations, they can also mean that menstruation has started again, and a woman is not actually post menopausal after all.
Whilst doctors have a clinical definition of when a woman is considered post menopausal, individuals may not always fit the typical profile. Bleeding after menopause is often nothing to worry about though. Some women report having menstrual episodes years after menopause.
causes of bleeding after menopause discussedHormonal imbalance may cover such causes as estrogen breakthrough, estrogen withdrawal, or progesterone breakthrough. Estrogen breakthrough in low levels of estrogen may cause irregular spotting. In high levels of estrogen, there may be no periods followed by a heavy menstruation. In progesterone breakthrough, when there are high levels of progesterone in relation to estrogen, this usually relates to the atrophy of the endometrial lining.
But because vaginal bleeding can signify something more serious, it’s important to go to a doctor and get the situation checked out. This is especially true if other symptoms like unusual vaginal discharges, and pressure on the bowels, pelvic floor, or bladder, are also present.