Bleeding after menopause

Bleeding after menopause (PNB): 

What is PMB?

PMB means post-menopausal bleeding and is characterized by spotting after menopause or period after menopause. It normally is discovered 12 months after you had your last period. If you go 12 months without a period then this is the stage when the menopause is said to begin, but some women begin to bleed again at this time. And you thought you had gotten passed this stage. There are plenty of women who see red and panic.

Do not panic, 9 times out of 10 once your ovaries and womb have shut up shop there is nothing wrong, but there is a chance that this could be a cause for worry, so it does need immediate investigation as it can be a sign of such diseases as cancer. That is the last thing you need. Go to your doctor NOW!

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Do not forget the fact that although you have gone through the menopause, there is no hard and fast rule to say that there is no chance of getting yeast infections. Yeast infections can cause vaginal bleeding also, they are easily treated at the doctor or you can treat them yourself with natural yoghurt. Yes! I know how disgusting, but the fact is that organic natural yoghurt works and saves you embarrassment of having to go to the doctor or asking for an over the counter pessary.

If the red alert is cancer, there is still no need to panic, although it is a horrifying thing to be told, but if you act immediately and it is caught early enough then you will find that it can be cured.

Most vaginal cancers are found at such an early stage because the bleeding is one of the first signs of cancer in women. This is true whether you are menopausal or not. If you develop any vaginal bleeding between periods they should be looked into, so the bleeding really is a red alert system your body has developed.

The two most common causes for vaginal bleeding after menopause include:

·         Atrophic vaginitis which is nothing more than a lack of hormones mainly estrogen causing the vagina to become a bit swollen.

·         Cervical and endometrial polyps

·         There if course the chance that you could have bleeding due to the vaginal dryness that is caused by the menopause. After you have had sex the friction can cause minor skin damage within the vagina causing bleeding, again nothing to worry about.

How is bleeding after menopause investigated?

Once you have been to your doctor and had a full examination, your GP will arrange some other tests for you if he believes that it warrants further investigation, such as:-

·         Transvaginal Ultrasound Scan – This is a scan which is used as a frontline way of detecting conditions such as endometrial Cancer. The reason is that the endometrial is thinner in menopausal women that it is in pre – menopausal women. A TVUS is shown to reduce the risk of cancer in women by 84%. So it is pretty accurate.

·         Hysteroscopy and biopsy (curettage) is a great way to detect polyps and other problems in the area.