Post-menopausal bleeding

Post-menopausal bleeding may not be anything to worry about but it can sometimes be a sign of cancer so it is important to get checked out even if you have experienced a small amount of blood.

You will be given a few tests such as a pelvic examination, an internal ultrasound scan and if required, a hysteroscopy to look at your uterus and take a biospy.

Usually, bleeding after intercourse is caused by:

  • Inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels

  • Cervical or womb polyps – growths that are usually non-cancerous

  • A thickened womb lining (endometrial hyperplasia) – this can be caused by hormone replacement therapy (HRT), high levels of oestrogen or being overweight, and can lead to womb cancer


Less commonly, postmenopausal bleeding can be caused by cancer, such as ovarian and womb cancer.

It is best to get checked by a Gynaecologist Consultant to treat the cause of the symptoms and rule out anything serious.