What does it mean if you start bleeding years after menopause?

Postmenopausal bleeding refers to any vaginal bleeding that occurs in a woman after she has gone through menopause. Menopause is defined as occurring 12 months after a woman's last menstrual period. So any bleeding after that 12-month mark is considered abnormal.
Some potential causes of postmenopausal bleeding include:

Other less common causes include:

When to see a doctor

Any postmenopausal bleeding warrants further evaluation by a doctor. While the bleeding may ultimately be due to a benign cause, the only way to rule out cancer is through an endometrial biopsy.

Here is a typical workflow to evaluate postmenopausal bleeding:

Treatment depends on the underlying cause:

The keys with postmenopausal bleeding are to never ignore it and to make sure cancer is ruled out as the source. Reach out to your doctor whenever you experience any abnormal vaginal bleeding after menopause. Getting checked out quickly leads to the best health outcomes.

If you are experiencing abnormal bleeding after menopause, the hormone specialists at Balance Hormone Clinic can help. Our compassionate team of physicians and nurse practitioners specialize in the delicate hormonal changes that occur during perimenopause and postmenopause. We provide cutting-edge testing and personalized treatment plans to help alleviate uncomfortable symptoms and address any underlying causes.

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