What Causes Postmenopausal Bleeding?

There are several possible reasons for bleeding after menopause, including:

• Thinning of the vaginal and uterine lining (atrophic changes) – Due to lower oestrogen levels, the tissues of the uterus and vagina become thinner and more fragile, making them prone to bleeding.
• Hormone replacement therapy (HRT) – Some women on HRT may experience irregular spotting or bleeding.
• Polyps or fibroids – Non-cancerous growths in the uterus or cervix can sometimes cause bleeding.
• Endometrial hyperplasia – A thickening of the uterine lining, which may be due to excess oestrogen and, in some cases, can lead to abnormal cell changes.
• Gynaecological cancers – Though less common, postmenopausal bleeding can be a symptom of cancers affecting the uterus, cervix, or vagina. Early assessment is key to ruling out any serious concerns.

When to Seek Medical Advice

Any bleeding after menopause should be investigated, even if it happens just once. While the cause is often benign, an early diagnosis can help prevent complications and ensure peace of mind. It is particularly important to see a specialist if you experience:

• Heavy or persistent bleeding
• Bleeding after intercourse
• Pain or discomfort in the lower abdomen
• Unusual vaginal discharge

How is Postmenopausal Bleeding Diagnosed?

At Ovara Health, we use advanced diagnostic tools to determine the cause of postmenopausal bleeding, including:

• Pelvic ultrasound – To examine the thickness of the uterine lining
• Hysteroscopy – A small camera is used to look inside the uterus and assess any abnormalities
• Endometrial biopsy – A sample of the uterine lining is taken to check for abnormal cell changes
• Blood tests and hormone assessments – To rule out any hormonal imbalances

Treatment Options at Ovara Health

Treatment for postmenopausal bleeding depends on the underlying cause. Our specialist team offers a range of treatment options, including:

• Hormonal therapy – To restore balance and prevent excessive tissue thinning
• Removal of polyps or fibroids – If detected, these can often be removed through a simple outpatient procedure
• Endometrial ablation – A treatment to reduce or remove the uterine lining if necessary
• Surgical options – In cases where there are concerning abnormalities, surgical interventions may be recommended

Expert Care at Ovara Health

At Ovara Health, we are committed to providing expert, compassionate care for women’s health concerns. If you have experienced postmenopausal bleeding, our team is here to support you with comprehensive assessments and tailored treatments to give you peace of mind.