When to see your GP
See a GP if you have postmenopausal bleeding, even if:
- it's only happened once
- there's only a small amount of blood, spotting, or pink or brown discharge
- you don't have any other symptoms
- you're not sure if it's blood
Postmenopausal bleeding isn't usually serious, but can be a sign of cancer. Cancer is easier to treat if it's found early.
What happens at your GP appointment
Your GP will refer you to hospital or a special postmenopausal bleeding clinic for further tests. Depending on your age and symptoms, your GP will assess the risk, and if necessary, request an urgent appointment.
What happens at your hospital or clinic appointment
At your hospital or clinic appointment, you will be offered 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 (vaginal ultrasound scan)
- an examination of your pelvis and vagina
- a thin, telescope-like camera being passed up your vagina and into your womb to look for any problems (a hysteroscopy) and to take a tissue sample (biopsy) for testing – under local or general anaesthetic
Causes of postmenopausal bleeding
There can be several causes of postmenopausal bleeding.
The most common causes are:
- inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels
- cervical or womb polyps – growths that are usually non-cancerous
- a thickened womb lining (endometrial hyperplasia) – this can be caused by hormone replacement therapy (HRT), high levels of oestrogen or being overweight, and can lead to womb cancer
Less commonly, postmenopausal bleeding is caused by cancer.
Treatment for postmenopausal bleeding
Treatment will depend on what's causing your bleeding. Your health professional will discuss treatment options with you.