![]() In some cases, the cells of the lining can become abnormal, leading to cancer.Ĭancer is the most serious, but also least likely, cause of bleeding after menopause. If your ob-gyn discovers these benign (noncancerous) growths in your uterus or on your cervix, you might need surgery to remove them.Īnother possibility: You could be bleeding because the lining of your uterus is becoming too thick. If the lining of your uterus is super-thin, your ob-gyn might consider hormone therapy in the form of pills or an intrauterine device (IUD).īleeding after menopause is not normal, so take it seriously. Using lubrication during intercourse can help as well. Topical estrogen cream often resolves this kind of postmenopausal bleeding. ![]() If you experience the bleeding after sex, it may be from friction against this thinner, more sensitive skin-but your ob-gyn still should do a full evaluation to be sure. This can happen during menopause due to hormone changes. One reason for postmenopausal bleeding could be that the tissue of your vagina and vulva has gotten thinner. This tissue sample is sent to a lab for testing. Cells are removed from the lining of your uterus. In this procedure, your ob-gyn will place a camera into the vagina, through the cervix, and into your uterus. Some cases call for a more complex procedure called a diagnostic hysteroscopy with dilation and curettage (D&C). Your ob-gyn might suggest a pelvic ultrasound to look at your uterus more closely or a biopsy to take a tissue sample from the lining of your uterus. The next steps will depend on your age, how long it has been since you reached menopause, and how much bleeding you’re experiencing. During the exam, your ob-gyn may look at your vagina and cervix and feel the size of your uterus. What else is going on with your health? Other medical conditions could be relevant.Ī pelvic exam usually is needed when we’re talking about unexplained vaginal bleeding.Are you taking any new medications? Some drugs, such as blood thinners and some mental health medications, can have vaginal bleeding as a side effect.When did you go through menopause? The longer it’s been, the greater cause for concern and the more testing we might need to do.Your ob-gyn should ask questions such as: No matter your exact symptoms, you’ll want to get in touch with your ob-gyn right away if this happens to you.Īny evaluation should start with a detailed conversation, either in person or via telehealth (a phone call or video chat). ![]() Most of the time, there is no pain with the bleeding. Postmenopausal bleeding can range from light spotting that is pinkish-gray or brown, all the way to a heavy flow, like a regular period. (Menopause is officially confirmed if it has been 1 year since your last menstrual period.) After all, they thought they were done with it. Most women who experience bleeding after menopause are understandably concerned. Rosa is a woman in her mid-60s who’s well past menopause. Instead, she’s here for vaginal bleeding that has taken her by surprise. There are several types of vaginal discharge women may experience during pregnancy, which are listed in the table below.My patient “Rosa” has come to my office for an appointment, but it’s not for her annual visit. In some cases, a woman should see her doctor. Most of the time it is normal and nothing to worry about. Vaginal discharge can occur throughout pregnancy, including the third trimester (the last three months of pregnancy). The types of discharge in pregnancy include increased and thickened mucosal discharge, the mucus plug that seals the cervix until labor begins, amniotic fluid leakage, spotting, and yeast infection. During pregnancy, women can expect to experience vaginal discharge throughout the pregnancy.
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