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.
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.
Benign growths on the uterine lining. Cause irregular bleeding at any age but become more significant after menopause. Identified on transvaginal or pelvic scan.
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.
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.
Cervical polyps or cervical cancer can also cause postmenopausal bleeding. A clinical examination of the cervix is part of the assessment.
Bleeding in the first 3–6 months of starting HRT can be normal as the body adjusts. Unexpected bleeding after this window warrants assessment.
Postmenopausal bleeding requires same-day or urgent assessment. Walk in to Mascot Healthcare, Akoka.