Vaginal Bleeding After Menopause: Yes, It Happens

Welcome to the menopause sisterhood, full of transformations, hopefully some empowerment, and a whole lot of bodily mystery. Menopause is your body's natural evolution.

But just when you thought you had bid a final farewell to your period, menopause throws a curveball: postmenopausal bleeding.

While typically not a cause for concern, if you’re experiencing postmenopausal bleeding, you’ll want to reach out to your health care provider. They're your ally, ready to guide you through tests or treatments necessary to address the root cause. With that in mind, here are five common causes behind vaginal bleeding during menopause that you should know.

Your vagina is a resilient, dynamic organ that's adapting to your body's changing hormone levels. With less estrogen, the vaginal walls become thinner, dryer and a tad more vulnerable, which can lead to bleeding. The silver lining? There are treatments like moisturizers, lubricants, and hormones, as well as lifestyle adjustments, that can offer comfort and relief.

If you've embarked on hormone therapy or started a new medication like blood thinners, you may notice spotting or bleeding. It's your body's way of saying, "Hey, I'm dealing with something new here!" Be sure to keep your various health care providers up to date on any new meds you’re taking.

Fibroids and polyps aren’t uncommon during menopause and can potentially cause bleeding. While they're usually benign, they warrant a checkup to ensure everything's OK.

Sometimes, the lining of your uterus decides to go rogue, thickening more than usual, or becoming inflamed, which can lead to bleeding.

Postmenopausal bleeding can indicate cancers of the reproductive system. The number one cancer associated with postmenopausal bleeding is uterine cancer, while cervical and ovarian cancer can also be a concern. Early detection is key, so all patients with postmenopausal bleeding should be evaluated with an endometrial biopsy to rule out cancer.

Menopause isn't just a biological milestone—it’s a testament to your body's resilience and adaptability. So, try to embrace this transition with the same compassion and curiosity you've granted every other phase of your life. Understanding your body empowers you to make proactive health choices, so stay curious and informed about the changes happening within you, and the treatment options available to you.

Menopause is a shared journey, so lean on friends, find support groups, or immerse yourself in communities that celebrate this phase of life. Now's the time to indulge in activities that nurture your body and soul. Whether it's yoga, creative pursuits, or just time with loved ones, prioritize your joy and well-being. And when you experience bumps in the road, like vaginal bleeding, never hesitate to reach out to your health care provider.

• Advice for conquering menopause.
• Periods after menopause: Is it possible?
• The factors that can cause premature menopause.