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What Would Cause Spotting After Menopause

When Should You Be Concerned About Spotting After Menopause

Menopause & You: Bleeding After Menopause

While causes for spotting after menopause may vary in severity, its not a good idea to wait for additional bleeding or symptoms to seek medical attention. After experiencing spotting, periods, or bleeding most of your life, you may not think twice about it now. But in the case of post-menopause spotting, you should take this symptom as a sign to see a medical provider promptly. While some causes of spotting after menopause may be less concerning, you will want to rule out right away whether the cause of yours is something more severe, such as cancer. In a nutshell? The wait and see approach is not advised for this scenario. Give yourself peace of mind and seek a medical professionals opinion as soon as possible.

Symptoms Of Postmenopausal Bleeding

Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding.

Many symptoms that occur during menopause, like hot flashes, often begin to decrease during the postmenopausal time period. There are, however, other symptoms that postmenopausal women may experience.

Symptoms postmenopausal women may experience include:

  • vaginal dryness

A doctor may conduct a physical exam and a medical history analysis. They may also conduct a Pap smear as part of a pelvic exam. This can screen for cervical cancer.

Doctors may use other procedures to view the inside of the vagina and the uterus.

Why You Shouldnt Ignore Postmenopausal Bleeding

A woman is considered to be in menopause after 12 consecutive months without a period. You may experience irregular bleeding leading up to menopause, a stage known as perimenopause. But once youre in menopause, all vaginal bleeding should stop.There are benign causes of postmenopausal bleeding. For 10 percent of women, however, the cause is endometrial cancer.Early diagnosis offers the best chance to beat endometrial cancer. I urge women to treat postmenopausal bleeding as cancer until proven to be something else. I dont say this to scare people, but a healthy amount of worry in this situation is warranted.

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What Other Conditions Can Cause Bleeding After Menopause

Some other conditions can cause abnormal uterine bleeding after menopause.

  • Endometrial hyperplasia, or the overgrowth of the cells lining the uterus
  • Infection of the uterine lining
  • Injury or trauma to the pelvic area
  • Certain medications, including hormone therapy and tamoxifen
  • Endometrial cancer, or uterine cancer
  • Cervical cancer

In most cases of postmenopausal bleeding, the cause is harmless. However, medical experts still recommend visiting your doctor to rule out more serious causes of abnormal bleeding, such as endometrial carcinoma.

What About The Color Of Blood Of Spotting After Menopause

6 Causes of Vaginal Bleeding after Menopause

Oftentimes, many women are puzzled by the color of discharge they see. They get used to a bright red color, which means it is true blood. Nonetheless, they dont understand what the brown vaginal discharge after menopause means. We can comfort you. There is no reason to panic because its also your blood. It may be brown or even black because this is old blood that somehow lingered in your vagina and has bled out too late. Therefore, its a common blood loss.

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How Can Doctor Help With Spotting After Menopause

If your spotting is intensive, you must get alarmed. It may induce serious consequences. You should turn to a professional if the blood loss in durable and severe. Besides, it may appear together with other symptoms. These may be cramping and spotting after menopause, spotting and back pain, and so other combos. When you come to a doctor, he or she may:

  • Ask about your medical history
  • Ask about current medications
  • Do a physical examination
  • Take a swab to make sure the bleeding isnt caused by infections
  • Check on cancer cells
  • Take a sample of blood
  • Take a sample of tissues
  • Undertake some other measures.

All these measures help to identify the problem or confirm its absence. You have to get patient. Afterward, your doctor will appoint the necessary curing for your spotting. Its form is dependent on the type and severity of your problem, as well as your natural responses to certain curing measures. The most typical treatments are surgery, hysterectomy, and hysteroscopy. If your bleeding is caused by sexually transmitted infections, youll be prescribed medications. In the case of cancer, chemotherapy or such-like measures are necessary.

Now you know what does spotting after menopause mean and what causes this state. This article has shown that spotting is a normal condition for every woman. You only should pay attention to the frequency and severity of your bleeding. Be cautious and self-aware to prevent possible health issues.

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How Is Cervicitis Treated

If your doctor determines that you have cervicitis, you will usually be prescribed an antibiotic to treat any bacterial infections that may be causing the condition. Women under age 25 or who engage in high-risk behaviors may be treated with antibiotics even if bacteria are not detected in the diagnosis. Some bacteria can be hard to detect but may still be present. You should abstain from intercourse until treatment is done.

Antibiotics successfully treat cervicitis in most cases. If cervicitis is not successfully treated by antibiotics, laser therapy or surgery may be required. Your doctor can best determine the treatment for your cervicitis based on your age, habits, diagnostic tests, and the length of the condition.

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What Causes Bleeding After Menopause

Bleeding after menopause is rarely cause for concern. It does need to be investigated, however, because in very few cases it will be an indicator of something more serious.

In about 90 per cent of cases, a particular cause for bleeding after menopause will not be found. This is not a cause for alarm, if there is a serious problem it will be identified through investigations. Most of the time, postmenopausal bleeding is caused by:

  • inflammation and thinning of the lining of your vagina
  • thinning of the lining of your uterus
  • growths in the cervix or uterus which are usually not cancerous
  • thickened endometrium often because of hormone replacement therapy
  • abnormalities in the cervix or uterus.

These are generally not serious problems and can be cured relatively easily.

However, about 10 per cent of the time, post-menopausal bleeding is linked to cancer of the cervix or uterus and so it is very important to have it investigated.

Should I See A Doctor

Is postmenopausal bleeding normal?

Bleeding after menopause isnt normal, so its best to have it checked out. An exception might be if youre on HRT and have been advised that its a potential side effect. Still, if spotting and bleeding are heavier and longer lasting than you expected, see your doctor.

Depending on other symptoms or known health conditions you have, your doctor may:

  • ask about your medical history and current medications
  • do a physical examination, including a pelvic exam
  • take a swab to check for infections
  • perform a Pap test to check for cervical cancer cells.
  • take a blood sample
  • do a pelvic ultrasound or hysteroscopy to get images of your cervix, uterus, and ovaries
  • take a tissue sample, also known as a biopsy, to check for cancerous cells
  • perform a dilation and curettage to scrape the inner walls of your uterus so that tissue samples can be checked for cancer

Some of these tests can be done right away in your doctors office. Others may be scheduled as an outpatient procedure at a later date.

Spotting can be treated, but it depends on the cause.

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What Are The Types Of Endometrial Hyperplasia

Doctors classify endometrial hyperplasia based on the kinds of cell changes in the endometrial lining. Types of endometrial hyperplasia include:

  • Simple endometrial hyperplasia : This type of endometrial hyperplasia has normal-looking cells that arent likely to become cancerous. This condition may improve without treatment. Hormone therapy helps in some cases.
  • Simple or complex atypical endometrial hyperplasia: An overgrowth of abnormal cells causes this precancerous condition. Without treatment, your risk of endometrial or uterine cancer increases.

Do I Still Need A Pap Smear Now That I Am Menopausal

Even if you are menopausal or postmenopausal, you should continue to have Pap or HPV tests. Women who have had a total hysterectomy for a noncancerous condition and have not had a previous history of precancerous Pap tests may be able to stop Pap screening depending on their medical history and risk of contracting human papilloma virus . Screening may also be discontinued at ages 65 or 70 if women have had at least three normal Pap tests in a row and no abnormal Pap tests in the previous 10 years.

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What Happens At Your Gp Appointment

The GP should refer you to hospital or a special postmenopausal bleeding clinic. You should not have to wait more than 2 weeks to see a specialist.

What happens at your hospital or clinic appointment

A specialist, who may be a nurse, will offer you tests to help find out what’s causing the bleeding and plan any necessary treatment.

The tests may include:

  • a small device being placed in your vagina to scan for any problems
  • an examination of your pelvis and vagina a speculum may be inserted into your vagina to hold it open, so the inside of the vagina and the cervix can be seen
  • a thin, telescope-like camera being passed up your vagina, through the cervix and into your womb to look for any problems and to take a tissue sample for testing under local or general anaesthetic
  • the specialist may press on your tummy and inside your vagina to check for lumps, tenderness or other abnormalities

How Can I Distinguish More Serious Issues From Spotting After Menopause For Other Reasons Are There Other Warning Signs

Is it Possible to Have Periods during Postmenopause ...

Dr. Jessie: It can be very challenging to distinguish pre-cancer or cancer of the uterus from other causes without an exam. Things like weight loss, pain or persistent bleeding are more likely with advanced cancers.

Bleeding without any other symptoms can be a sign of early cancer. Because of this, I dont recommend trying to decide for yourself where your bleeding is coming from. It is always worth seeing your doctor for this issue.

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Can Fibroids Cause Discharge After Menopause

Well in order to prevent the cervical changes I do recommend that women get their annual well womans exams every year because thats the first line of screening to see if they have any cervical.

Practising kegel sets regularlysometimes recommended as three sets of 10 reps every day while sitting or lying downcan make a substantial difference to pelvic health after only a few weeks.

Vaginal Atrophy Vaginal atrophy is when the vaginal walls become thin, dry and inflamed due to a decline in estrogen in a womans body, typically brought on by menopause. Vaginal atrophy can make sexual intercourse.

Occasionally having HRT can cause fibroids to grow or bleed. Women taking HRT can still have effective treatments for their fibroids. Women who have had Uterine Artery Embolisation can safely take HRT after their menopause as the fibroids will have shrunk by the procedure and are therefore are unable to grow or be affected by oestrogen.

Spotting can be light bleeding before and after periods. This spotting is usually.

burning or pain during urination. Causes of Spotting What are the treatments for spotting?

Do large uterine fibroids shrink after menopause and how much, if they do? i am a 50 yr old caucasion. i was thinking of waiting until menopause and lettingt it shrink. it isnât causing any problems other than bulk related which i can handle. my d

Additional causes of abnormal bleeding include medications that can affect.


Cervical polyps rarely cause symptoms.

Whats The Difference Between Vaginal Atrophy And A Yeast Infection

Both vaginal atrophy and yeast infections can have symptoms of dryness, itching, redness and pain. However, vaginal atrophy is caused by a lack of estrogen while a vaginal yeast infection is caused by a fungal infection. Consult with your healthcare provider regarding symptoms so that you, together, can determine what condition you have.

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Uterine Fibroids During Menopause

Uterine fibroids are most common in women in their 40s and 50s, right around the time they are passing through the menopause transition.

As such, the appearance of fibroids during perimenopause can be attributed to the drastic hormonal fluctuations taking place in womenâs bodies as their ovaries wind down reproductive function, although similar to premenopausal women, the exact cause is unknown.

Furthermore, women are more susceptible to risk factors during this time that can heighten their chances of developing fibroids, including weight gain and age. Fibroids become more common as women age, and women who are overweight are at a greater risk for developing these uterine growths as well.

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Is Spotting Between Periods Normal

Post-Menopausal Bleeding

Is spotting normal during perimenopause? If you observe small amounts of blood on your underwear between cycles , its considered spotting.

Aside from hormonal changes, perimenopause spotting is also the direct result of endometrial buildup. It happens either before your period starts or near the end of it. If youre spotting between periods, however, it might be an indication of hormonal imbalance and should be discussed with your doctor.

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What Are The Symptoms Of Cervicitis

Symptoms of cervicitis can include:

  • Abnormal vaginal discharge that may be yellow, white, or gray and have an unpleasant odor. This may persist for a long period of time.
  • Sexual intercourse may become painful.
  • Vulvar or vaginal irritation.

Cervicitis often does not have any symptoms, however. This is one reason why women should have regular gynecological appointments. It is especially important to seek an exam if you notice any of the above symptoms and/or have had chlamydia or another sexually transmitted disease in the past.

What Causes Postmenopausal Bleeding

Bleeding can occur in postmenopausal women for several reasons. For example, women who take hormone replacement therapy may have vaginal bleeding for a few months after starting the hormones. Its also possible for a woman who thought she was in menopause to begin ovulating. If this occurs, bleeding may also occur.

There are a variety of other conditions that can cause postmenopausal bleeding.

Some common causes include: polyps, endometrial hyperplasia, and endometrial atrophy.

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Treating Post Menopause Bleeding

If you have postmenopausal bleeding it is important to have it investigated.

You will most likely be referred to a gynaecologist who may:

  • ask you questions about the history of your health
  • examine you
  • do a blood test
  • look at the inside of your vagina and cervix using special tongs . At the same time, they may take a tiny sample of your cervix for testing .

The kind of treatment you have will depend on what is causing the bleeding.

  • Atrophic vaginitis and thinning of the endometrium are usually treated with drugs that work like the hormone oestrogen. These can come as a tablet, vaginal gel or creams, skin patches, or a soft flexible ring which is put inside your vagina and slowly releases the medication.
  • Polyps are usually removed with surgery. Depending on their size and location, they may be removed in a day clinic using a local anaesthetic or you may need to go to hospital to have a general anaesthetic.
  • Thickening of the endometrium is usually treated with medications that work like the hormone progesterone and/or surgery to remove the thickening.

Before treatment there are a number of tests and investigations your gynaecologist may recommend.

All treatments should be discussed with you so that you know why a particular treatment or test is being done over another.

Related information

What Are Uterine Fibroids

Irregular Periods and Brown Discharge

Uterine fibroids are growths made up of the muscle and connective tissue from the wall of the uterus. These growths are usually not cancerous . Your uterus is an upside down pear-shaped organ in your pelvis. The normal size of your uterus is similar to a lemon. Its also called the womb and its the place where a baby grows and develops during pregnancy.

Fibroids can grows as a single nodule or in a cluster. Fibroid clusters can range in size from 1 mm to more than 20 cm in diameter or even larger. For comparison, they can get as large as the size of a watermelon. These growths can develop within the wall of the uterus, inside the main cavity of the organ or even on the outer surface. Fibroids can vary in size, number and location within and on your uterus.

You may experience a variety of symptoms with uterine fibroids and these may not be the same symptoms that another woman with fibroids will experience. Because of how unique fibroids can be, your treatment plan will depend on your individual case.

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Can Uterine Polyps Be Prevented

There is no way to prevent uterine polyps. It’s important to have regular gynecological checkups. Risk factors such as obesity, high blood pressure, or taking tamoxifen to treat breast cancer may increase the chance of developing polyps. Uterine polyps sometimes return after treatment, and additional treatment may be necessary.

How Does Menopause Change Fibroid Symptoms

After menopause, fibroids cause similar symptoms to pre-menopausal fibroids. Since women dont have periods after menopause, they dont experience the intense menstrual cycles associated with fibroids. However, they can experience intermittent bleeding, cramps, a protruding belly, and frequent urination. If you have post-menopausal fibroids, you could also have symptoms like:

  • Inability to empty bladder fully
  • Pain during intercourse

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