PostMenopausal Bleeding. Your Questions Answered by Internal Specialist, Dr Mera

There can be several causes of postmenopausal bleeding.

The most common causes are:

• inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels
• cervical or womb polyps – growths that are usually non-cancerous
• a thickened womb lining (endometrial hyperplasia) – this can be caused by hormone replacement therapy (HRT), high levels of oestrogen or being overweight, and can lead to womb cancer

Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian and womb cancer.

Treatment for postmenopausal bleeding

Treatment depends on what’s causing your bleeding: 

Cervical polyps the polyps may need to be removed by a specialist

 Endometrial atrophy   you may not need treatment, but may be offered oestrogen cream or pessaries

Endometrial hyperplasia   depending on the type of hyperplasia, you may be offered no treatment, hormone medicine (tablets or an intrauterine system, IUS) or a total hysterectomy (surgery to remove your uterus, cervix and ovaries) Side effect of HRT changing or stopping HRT treatment

Womb cancer total hysterectomy will often be recommended

Ovarian cancer surgery to remove your ovaries and your womb (total hysterectomy)

If you have any further questions then contact Dr Mera personally on, 545152@gmail.com