Postmenopausal Bleeding: Causes, Diagnosis & Treatment

Menopause marks the end of a woman’s reproductive years. It is an important natural transition that takes place in the life of a woman and cannot be avoided. This natural phenomenon occurs when a woman is in her late 40s to early 50s. It is diagnosed after a woman has gone 12 months without a menstrual period.
Women who go through postmenopausal bleeding can experience stress and confusion owing to its paradoxical nature. This period signifies bleeding after menopause, adding to the perplexity of the condition. This condition affecting postmenopausal women needs the attention of a medical professional so that the underlying causes can be identified. It is highly imperative that women with postmenopausal bleeding receive the right diagnosis and treatment. This ensures peace of mind and helps one maintain good health.

Postmenopausal bleeding, in particular, refers to vaginal bleeding that takes place after a woman reaches menopause. Menopause is when a woman does not experience menstrual periods for over twelve months. This signals the end of fertility in women. Bleeding is not supposed to occur post-menopause, and its sudden appearance can be quite alarming. In such instances, the bleeding needs to be examined by a healthcare professional. It is possible that postmenopausal bleeding is the symptom of a variety of underlying conditions. The bleeding that occurs is the outcome of changes or abnormalities in the reproductive system.
- Bleeding after menopause can take place with numerous symptoms. It is imperative that you recognise these symptoms early so that you can reach out to a doctor at the earliest.
- Spotting or Light Bleeding: This may involve light bleeding or spotting and is not likely to be like regular menstrual period. A streak or a drop of blood may be noticed.
- Significant Bleeding: A few women could experience heavy bleeding episodes akin to regular menstrual flow.
- Accompanied Pain: In some cases, the bleeding is accompanied by pelvic and abdominal pain.
- Unusual Discharge: At times, unusual discharge is a part of postmenopausal bleeding and is accompanied by odour.
There is an array of causes that could cause postmenopausal bleeding. Understanding these can lead to a more accurate diagnosis and thus, effective treatment.
Endometrial Atrophy: Endometrial atrophy causes bleeding after menopause. When the uterine lining becomes extremely thin, it leads to occasional bleeding. This is associated with oestrogen deficiency. Women with atrophy also deal with vaginal discharge, spotting, dryness and pain during intimacy.
Hormone Therapy: Women undergoing hormone replacement therapy are likely to experience premenopausal bleeding. Hormonal fluctuations can affect the uttering lining and cause bleeding. Oestrogen can ease the symptoms of menopause, and progestin is needed to prevent endometrial cancer in women.

Polyps: Uterine polyps, which are benign growths on the uterus, can cause vaginal bleeding after menopause. Although not common, polyps may form in the cervix and, very rarely, in the vagina.
Endometrial Hyperplasia: When the uterine lining gets too thick, it may contain abnormal cells that can lead to bleeding. These may or may not be associated with precancerous cells.
Cancer: Bleeding after menopause causes include uterine or cervical cancer. It is important that women have postmenopausal bleeding checked thoroughly so that it is not dangerous to health.
Once the underlying cause is determined, postmenopausal bleeding can be properly treated.
Diagnostic Procedures: Doctors resort to ultrasounds, hysteroscopies or endometrial biopsies to determine the cause of postmenopausal bleeding.
Hormone Treatments: Using hormone therapy, doctors may try to correct the hormonal imbalance that causes bleeding. This procedure is medically supervised.
Surgical Intervention: Healthcare professionals may need to resort to surgery to do away with noncancerous growths such as polyps or fibroids.
Medication: Medications such as antibiotics treat most infections. Taking oestrogen supplements too can help with bleeding which occurs due to vaginal atrophy. Always consult your doctor before taking any medication.
Cancer Treatments: If cancer is diagnosed in the reproductive system, then treatment options may include surgery, radiation, or chemotherapy.
Managing postmenopausal bleeding involves both medical treatment and practical coping strategies.

Use Good Quality Sanitary Pads: A good quality sanitary napkin can go miles to help manage bleeding. Always has a wide range of sanitary pads you can choose from that will help you do just that. Take a look at the Always Ultra Thin Pads packed with a super absorbent core that is sure to keep you dry and comfortable. Its clean and dry top cover coupled with its supreme quality material will give you the comfort you may not know you need.
Maintain a Health Journal: You can document the number of times you get the bleeding, the symptoms associated with postmenopausal bleeding and things that trigger the bleeding. This could give healthcare providers more insight into your condition.
Communicate with Healthcare Providers: Visit your doctor regularly so that they can be vigilant to any changes in symptoms.
Adopt a Health-Conscious Lifestyle: It bodes well for your health if you exercise regularly, eat a balanced diet and avoid smoking and consuming excessive alcohol.
It's important to seek medical advice should you experience any of the symptoms listed below:
Persistent Bleeding: Excessive and persistent bleeding needs the attention of a qualified healthcare professional and should not be ignored.
Severe Pain: Accompanying abdominal or pelvic pain should never be ignored or self-treated. A person suffering from this must see a doctor.
Family History: If you have a family history of cancer, you may have to mention it to your doctor. As cancer and postmenopausal bleeding could be related.
If you have a family history of cancer, reporting postmenopausal bleeding to a healthcare provider is crucial.
Postmenopausal bleeding, while often benign, should never be ignored. Understanding its causes, symptoms, and treatments ensures women remain informed and empowered to maintain their health through the postmenopausal years. Seeking prompt medical advice and proper management helps alleviate concerns and ensures any serious conditions are addressed early. With proactive care, women can focus on enjoying this new and rewarding chapter of life.
If you ever feel that you might have postmenopausal bleeding, then Always’ range of tampons is just what you need. If you are dealing with vaginal discharge with odour, then you may want to use our panty liners to stay free of any irritation. Check out the Always Tampax Compak Tampons, which offer full protection in a compact size. It comes packed with absorption channels and a protective skirt that helps deter leakage.
Disclaimer
Please note the date of the last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice, diagnosis or treatment from your doctor or other qualified clinician. Always is committed to ensuring that all of our products meet rigorous safety standards; Always pads prioritize safety, protection and comfort of its consumers.