Bleeding after menopause is surprisingly common, but it should never be ignored. While it’s often due to benign causes, it can also be a sign of something more serious — and deserves prompt, expert attention.
What is Postmenopausal Bleeding?
By definition, menopause means no bleeding for at least 12 months. Any vaginal bleeding after this point — even just spotting — is considered abnormal and should be investigated.
Common Causes:
- Endometrial atrophy (thinning of the uterine lining)
- Polyps (benign growths in the uterus or cervix)
- Hormone replacement therapy (HRT)
- Endometrial hyperplasia
- Endometrial or cervical cancer
While cancer is the least common cause, ruling it out quickly is crucial for peace of mind and early treatment if needed.
What I offer
- Prompt ultrasound assessment, usually transvaginal, to check the endometrial thickness
- In-clinic endometrial biopsy, often during the first visit
- Hysteroscopy, if needed, for direct visualisation and treatment
- Individualised care, with options explained in plain English and follow-up arranged without delay

Why Choose Specialist Care?
Postmenopausal bleeding is never just part of ageing. You deserve answers, reassurance, and expert care.
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Please note: This information is general in nature and not a substitute for medical advice tailored to your specific situation.
