Bleeding after menopause can be frightening. Many women ask, “What is the most common cause of bleeding after menopause?” The answer depends on various factors, but one common cause is thinning of the uterus lining due to low estrogen. This is called endometrial atrophy. Other causes exist, but most are not serious. Still, it’s always best to check with a doctor.
Understanding Postmenopausal Bleeding
Menopause is defined as 12 months of not having a period. Any bleeding after that is postmenopausal bleeding. It can be light spotting or heavy like a period. Some causes are harmless, while others require medical attention.
What is the most common cause of bleeding after menopause?
The most common cause is endometrial atrophy. After menopause, estrogen levels drop. This makes the uterus lining thin and weak, causing it to break and bleed.
Other reasons include:
Polyps – Small, non-cancerous growths in the uterus or cervix that may cause spotting.
Hormone Replacement Therapy (HRT) – Some women on HRT experience light bleeding.
Endometrial Hyperplasia – Extra estrogen can make the uterus lining thick, leading to bleeding.
Fibroids or Infections – These can irritate the uterus and cause spotting.
Cancer (Rare Cases) – Though rare, endometrial cancer can cause postmenopausal bleeding.
When to See a Doctor
Postmenopausal bleeding is not normal.
See your GP if:
Bleeding happens more than once.
It is heavy like a period.
You have pain or an unusual discharge.
Early checks can rule out serious issues and give peace of mind.
Tips for a Healthy Menopause
Eat a balanced diet to help maintain healthy hormones.
Exercise regularly to maintain the strength of your body.
Attend regular gynaecological check-ups.
Cope with stress to keep hormones in balance.
Monitor any abnormal symptoms and report to a doctor if needed.
FAQs
- Is postmenopausal bleeding always serious?
No, many are due to harmless causes, such as thinning tissue or polyps. You should still consult a doctor, though.
- How do doctors check for postmenopausal bleeding?
Your GP may perform a pelvic exam, ultrasound, or biopsy to identify the cause.
- Can stress cause bleeding after menopause?
Stress impacts hormone levels, but it is not usually the cause of bleeding.
- Should I stop HRT if I have spotting?
Talk to your doctor before changing your HRT plan.
- Can postmenopausal bleeding stop on its own?
It depends on the cause. Always check with a doctor to stay safe.
Conclusion
It is very common, but it should never be ignored. The most common cause is a thinning of the uterus lining, but other factors may come into play. In case you have noticed bleeding, an appointment with your GP can be booked. This can help you stay healthy and thus decrease worry.