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6 Reasons for Postmenopausal Vaginal Bleeding

If you experience vaginal bleeding - however light or brief - a year or more after your final period, then you are suffering from postmenopausal vaginal bleeding. For some women, it can be worrying because it is unexpected.

There are a number of reasons why bleeding can happen, but it is important to know the difference between typical causes and serious conditions. In most cases, no serious problem is found; however, it is advisable to see your doctor before ruling anything out. Read on to find out six of the most common reasons for postmenopausal vaginal bleeding.

Cervical polyps are very common in postmenopausal women.

Hormone Replacement Therapy (HRT)

Women taking HRT to smooth the menopausal transition may find that a change in the dosage - either to a stronger dose or when gradually weaning off the prescription during postmenopause - comes with similar side effects to natural hormonal changes in the body. The lining of the uterus can be stimulated by these hormones, building up and shedding, resulting in postmenopausal bleeding similar to menstruation.


Atrophic Vaginitis

Commonly known as vaginal dryness, atrophic vaginitis is the result of changes to the lining of the vagina due to reduced levels of estrogen during postmenopause. The vaginal walls become drier, thinner, and less elastic, which can lead to inflammation. This condition is one of the most common causes of vaginal bleeding during postmenopause.


Cervical Polyps

These growths of tissue are found on the lower part of the uterus connecting to the cervix, or the cervical canal, which can cause bleeding. Very rarely are there abnormal, precancerous, or malignant cells in the polyp, and tests can be taken to check for these. Benign cervical polyps, on the other hand, are relatively common in postmenopausal women.


Endometrial Atrophy

A lack of estrogen causes the lining of the uterus to thin and the vessels in the lining to break down, which in turn results in spontaneous postmenopausal bleeding or spotting.


Endometrial Cancer

Around 10% of women with postmenopausal bleeding have endometrial cancer. This is one of the reasons why it is important for postmenopausal women to see their physician if they experience any bleeding.


Emotional Stress

If a woman experiences a major life even that causes her to be overly stressed, anxious, or depressed, hormones can sharply fluctuate, causing spontaneous bleeding in postmenopause.


The principal reason for postmenopausal bleeding is hormonal imbalance. Women can find relief through lifestyle changes and herbal supplements. Learn more about postmenopause symptoms and treatments.

Life Before Postmenopause

Saying goodbye to the frequent hot flashes and night sweats, the mood swings, abrupt loss of libido, and itching vaginal dryness are some of the symptoms..

Herbal Medicine during Postmenopause

Postmenopause can be a tough phase for any woman. With lower hormone levels than ever before, it can be tough for your body to keep up like it used to.

Menopause Symptoms in Postmenopause

Read on to learn about menopause symptoms that may continue during postmenopause and how to manage them.

  • Harvard Health Publications. (2011). Abnormal uterine bleeding in peri- and postmenopausal women. Retrieved August 26, 2016, from
  • Lethaby, A. et al. (2004). Hormone replacement therapy in postmenopausal women: endometrial hyperplasia and irregular bleeding. The Cochrane Database of Systematic Reviews, 3, CD000402.
  • Newell, S. & Overton, C. (2012). Postmenopausal bleeding should be referred urgently. Practitioner, 256(1749), 13-15, 2. Retrieved from