Question

Menopause

What causes postmenopausal vaginal bleeding?

A Answers (2)

  • AChristina Charbonneau, DO, Obstetrics & Gynecology, answered
    Vaginal bleeding after menopause is not normal and should be evaluated by your OB/GYN.  It may be benign, but it is imperative to exclude more serious causes. 
    Such as:
    1)  Uterine bleeding caused by fibroid, polyps, infection of the lining, hormone treatment, Tamoxifen,      endometrial cancer or precancerous cells or uterine sarcoma
    2)  Cervical bleeding caused by inflammation, sexually transmitted diseases, trauma, cancer or precancerous    cells
    3)  Ovarian cancer
    4)  Vulvar cancer
    5)  Vaginal causes such as vaginal dryness, atrophy (thinning of tissue), trauma, infection, bleeding disorder, or precancerous or cancer cells
  • ALauren Streicher, MD, Obstetrics & Gynecology, answered
    A bloody vaginal discharge after menopause is commonly due to dryness and thinning of vaginal tissue from lack of estrogen. Vaginal infections such as yeast or bacterial vaginosis are another culprit.

    Bleeding originating from the cervix can occur if there is a benign cervical polyp or cervical inflammation. Many sexually transmitted infections can cause cervical bleeding; if there is a new partner in your life, it is a good idea to be screened for chlamydia, gonorrhea and trichomonas. Cervical and vaginal cancers can also cause bleeding, but are less common.

    Abnormal bleeding from the cavity of the uterus is caused by hormonal imbalances, benign growths such as polyps or fibroids, pre-cancer or cancer.
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