Bleeding or spotting after menopause should always be investigated.
There are several possible causes, and most are not cancer. However, postmenopausal bleeding can sometimes be a sign of changes in the lining of the uterus that need further assessment.
Dr Caroline Hoggenmueller provides specialist assessment of postmenopausal bleeding and can arrange appropriate investigations, including ultrasound, endometrial sampling or hysteroscopy when required.
Possible causes include thinning of the vaginal or uterine lining, polyps, fibroids, changes related to hormone therapy, and abnormalities of the endometrium.
Because the cause cannot be determined from the bleeding alone, it is important to have it assessed — even if it happens only once or is a small amount of spotting.
Your assessment will depend on your individual circumstances and may include a pelvic examination and a transvaginal ultrasound to assess the uterus and the thickness of the endometrium.
Depending on the findings, Dr Caroline may recommend further investigation such as an endometrial biopsy or hysteroscopy to examine the inside of the uterus and take a sample of the lining if needed.
Dr Caroline will explain what each investigation involves and why it may be recommended before deciding on the next step with you.
A hysteroscopy allows Dr Caroline to look directly inside the uterus using a thin camera passed through the cervix.
It may be recommended if an ultrasound shows a thickened endometrium, an endometrial polyp or another finding that needs further assessment.
During a hysteroscopy, Dr Caroline can also take a sample of the endometrium or remove a polyp if appropriate.
If you experience any vaginal bleeding or spotting after menopause, it is important to have it assessed — even if it happens only once or the bleeding is light.
You can arrange an appointment with Dr Caroline to discuss your symptoms, previous investigations and the next steps in your care.