Post Menopausal Bleeding
Post menopausal bleeding is bleeding after menopause. This is not normal and usually needs further tests to find the cause.
This needs to be investigated by Hysteroscopy.
Further information on Abnormal Uterine Bleeding can be found here.
Why Post‑Menopausal Bleeding Needs Prompt Evaluation
Post‑menopausal bleeding — any uterine bleeding that occurs after 12 months without a menstrual period — should never be ignored. While not all causes are serious, it can be a symptom of underlying conditions such as endometrial atrophy, polyps, hormone imbalances, or, less commonly, endometrial (uterine) cancer. Even benign causes like vaginal atrophy related to low oestrogen levels can cause bleeding, but distinguishing between these requires careful evaluation. A timely assessment by a gynaecology specialist ensures that potentially serious conditions are identified early and managed appropriately, improving outcomes and reducing anxiety.
Diagnostic Approach and Next Steps
Evaluation of post‑menopausal bleeding typically involves a combination of clinical history, physical examination and imaging studies. A transvaginal ultrasound is often the first imaging tool used to measure endometrial thickness and assess the uterus and ovaries. If abnormalities are detected, further investigation such as an endometrial biopsy or hysteroscopy — a procedure that allows direct visualisation of the uterine cavity — may be recommended to obtain tissue samples for pathological examination. Based on the findings, personalised treatment options can range from hormone therapy and procedural removal of polyps to targeted surgical management. Early consultation ensures the most accurate diagnosis and optimal care pathway.
For further information about Post Menopausal Bleeding, please contact Dr. Singla's office.