Uterine Bleeding – Postmenopausal

Unexpected, vaginal bleeding that begins 6 to 12 or more months after menopause.


  • Vaginal bleeding, which may be a light-brown discharge or heavy, red bleeding (with or without clots). Mucus may accompany bleeding. Bleeding episodes vary in length. The type or quality of the bleeding is not as relevant as the fact that it has taken place. Following menopause, women who are being treated with hormonal replacement will likely encounter some bleeding and should consult the doctor about the types of bleeding to be concerned about.
  • Pelvic pain (sometimes).


  • Cancer of the reproductive system.
  • Irritation or infection of the membranes lining the vulva.
  • Vaginal or endometrial atrophy (shrinking or wasting away of tissue).
  • Injury or trauma to the vagina, associated with reduced estrogen levels.
  • Polyps or benign tumors of the cervix.
  • Polyps on the inner uterine lining; myomas.
  • Hormone therapy that stimulates the endometrium (uterine lining), causing sloughing similar to normal menstruation. Estrogens (female hormones) used irregularly are a common cause of this.