What is post-menopausal bleeding?

Q: Why is post-menopausal bleeding considered different from the irregular bleeding so common in perimenopause? What’s the big deal with occasionally spotting after menopause?

Woman worried about vaginal bleeding

A: Any time a woman has gone 12 months with no period due to menopause, and then bleeds again ’ no matter how slight or brief ’ it is considered post-menopausal bleeding.

As many as 20—30% of women experience unexpected bleeding after menopause. Usually it turns out there is nothing to worry about, but please do check in with your healthcare provider if this occurs, as a proper evaluation is warranted in all cases.

For a more in-depth discussion of the implications and treatment of post-menopausal spotting and bleeding, please refer to our full article.

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Published: November 7, 2013 - Last Updated: March 30, 2021

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