The menopause is usually diagnosed in women over 45 who have not had a period for more than a year. If you experience bleeding after this it is not normal and should lead you to seek further investigation. Although the reason for your bleeding may be entirely harmless it could be due to something serious, so it’s important to see your doctor promptly.

Postmenopausal vaginal bleeding can be caused by:

  • Cancer of the uterus, cervix or vagina.
  • Thinning of the tissues lining the uterus (endometrial atrophy) or vagina (vaginal atrophy)
  • Uterine fibroids
  • Uterine polyps
  • Infection (endometritis)
  • Medications such as hormone therapy and tamoxifen
  • Trauma
  • Overgrowth of the lining of the uterus (endometrial hyperplasi