Post-menopausal bleeding

Because menopause marks the end of the menstrual cycle, menstrual bleeding and spotting after menopause are not normal. While the cause of bleeding may be minor, it is best to see doctor Lerm to rule out anything serious.

What could be causing it?

Post-menopausal bleeding can be caused by uterine polyps, certain medications and changes in the tissues of the vagina after the hormonal changes that occur during menopause. Thickening and thinning of vaginal and endometrial tissues can be the reason behind bleeding and spotting after menopause. In rare cases, however, the cause of abnormal bleeding is cervical or vaginal cancer.

How can post-menopausal bleeding be diagnosed?

During your consultation with doctor Lerm, she will perform a pelvic exam and assess whether or not the lining of the uterus may be the cause of abnormal bleeding. At the same time, a pap smear will be done to test for any abnormalities and rule out cancer. A hysteroscopy may also be done to view the internal uterus walls to see any growths that may be present.

How can post-menopausal bleeding be treated?

Depending on the cause for the abnormal bleeding, treatment may vary. If the cause is deemed to be due to thinning of the uterine or vaginal lining, your gynaecologist may prescribe an oestrogen cream or hormone therapy to replace the hormones that are lacking after menopause. Polyps that cause post-menopausal bleeding can be treated with surgical removal, but in some cases, a hysterectomy may be considered. Dr Lerm is highly experienced in gynaecological oncology and if cancer is found as the cause of abnormal bleeding, she may support and guide you in your treatment options including surgery, chemotherapy and radiation therapy, depending on the stage and type of cancer diagnosed.