You are Spotting or Bleeding After Menopause? Not OK

If you are Spotting or Bleeding


It could be nothing – just old uterine cells sloughing off – and this can be very cleansing and natural.

You Haven’t had a Period in 12 Months?

But if you have not had your period in over 12 months and you’re having any kind of bloody discharge or spotting (can be brown, yellow or red), then the alarm bells in your head should be going off.

Bleeding After Menopause is NOT Normal

Bleeding after menopause, or “postmenopausal bleeding” (“PMB”), is not a post menopausal symptom. The American Congress of Obstetricians and Gynecologists (ACOG) believe that

“…any bleeding after menopause is abnormal”

What Causes Bleeding or Spotting After Menopause?

Here are some of the causes of bleeding after menopause:

  • Hormone therapy is the number one cause of bleeding after menopause
  • Hyperplasias – overgrowths or thickening of the uterine lining
  • Lower estrogen levels can cause dryness and thinning of the tissues in your vagina which can lead to tearing during intercourse. Read more about that here and here.
  • Uterine polyps and fibroids can cause bleeding but are very common and usually non cancerous
  • Endometritis – Infection of the lining of your uterus
  • Medication…ask your doctor
  • Bleeding from your urinary tract or rectum
  • Cancer of the uterus, cervix or vagina
  • Pelvic injury

Get Yourself to Your Doctor ASAP

The Mayo Clinic recommends that you get yourself to your doctor as soon as you can. It may be nothing. But only your doctor can determine that.