Bleeding After Menopause?
This Always Needs Urgent Investigation.

Name: Postmenopausal Bleeding Lagos
Creator: Mascot Healthcare

Any vaginal bleeding that occurs 12 months or more after your last period is called postmenopausal bleeding, and it must always be investigated. In the majority of cases, the cause is benign. But a small proportion represent endometrial cancer, one of the most treatable cancers when caught early. Come to Mascot Healthcare same day.

💬 Book Consultation: WhatsApp 📞 0816 586 6252

Urgent same-day assessmentPelvic scan availableSame-day slots when availableAkoka, Lagos · Mon–Sat 9AM–5PM

⚠️ Do not wait for a routine appointment. Any postmenopausal bleeding should be assessed within 1–2 weeks at most. Come in the same day if possible.

Atrophic vaginitis

After menopause, declining oestrogen causes the vaginal walls to thin, dry, and become fragile, leading to light bleeding, especially after sex. The most common cause of postmenopausal bleeding. Treated with topical oestrogen.

Most common cause: highly treatable

Endometrial polyps

Benign growths on the uterine lining. Cause irregular bleeding at any age but become more significant after menopause. Identified on transvaginal or pelvic scan.

Pelvic scan identifies

Endometrial hyperplasia

Thickening of the uterine lining: often caused by unopposed oestrogen (from HRT, obesity, or PCOS). Can progress to cancer if untreated. Treated with progestogen or, for higher-risk types, surgery.

Endometrial thickness measured on scan

Endometrial cancer

Bleeding after menopause is the classic presenting symptom of uterine/endometrial cancer. It is the 4th most common cancer in Nigerian women and is highly curable when found early. This is why urgent assessment is essential.

Urgent scan + specialist referral

Cervical causes

Cervical polyps or cervical cancer can also cause postmenopausal bleeding. A clinical examination of the cervix is part of the assessment.

Pelvic examination + cervical assessment

HRT-related bleeding

Bleeding in the first 3–6 months of starting HRT can be normal as the body adjusts. Unexpected bleeding after this window warrants assessment.

Review HRT regimen + scan

I had some light spotting after menopause. Does it mean cancer?

The most common cause of postmenopausal bleeding is atrophic vaginitis, a benign, treatable condition. However, endometrial cancer must be excluded. The only way to do this is assessment, clinical examination + pelvic scan + endometrial thickness measurement. Most women assessed for postmenopausal bleeding do not have cancer. But the ones who do need to be found early.

What happens at a postmenopausal bleeding assessment at Mascot Healthcare?

We take a full history, perform a pelvic examination, and request an urgent pelvic ultrasound scan measuring the endometrial thickness. If the endometrium is thickened (more than 4mm in a postmenopausal woman), we arrange urgent specialist referral for biopsy. Results are discussed with you the same day.

Don't Wait. Come in Today.

Postmenopausal bleeding requires same-day or urgent assessment. Book a consultation at Mascot Healthcare, Akoka.

💬 Book via WhatsApp 📞 0816 586 6252

Assessment

Urgent / same day

Pelvic scan

See prices

Location

Akoka, Lagos

Pelvic scan Well-woman check Women's health

Last updated 16 October 2026.

Bleeding After Menopause?This Always Needs Urgent Investigation.