Bleeding after menopause (needs checking)

Overview

Thinning of the vaginal and uterine lining after menopause is the most common cause.

Endometrial cancer is most often found early because of this warning sign, and early cancer is very treatable.

Symptoms

Common signs:

• Bleeding after menopause
• Vaginal bleeding after menopause

Less common

• Spotting
• Pink or brown discharge

When to get medical care

Causes

Thin tissue, polyps, hormone therapy, thickened lining, and cancer.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• Obesity
• Diabetes
• Estrogen without progestin

Possible complications

• Endometrial cancer

Diagnosis

A clinician examines and tests.

Questions you may be asked

• Hormone therapy, blood thinners
• How much and how often

The exam

A pelvic exam.

Tests

Tests, if needed:

• Transvaginal ultrasound: Measures the lining.
• Endometrial biopsy: A small tissue sample.

Treatment

Get it checked soon.

Self-care

• Note dates and amount
• Use pads, not tampons, until checked

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a gynecologist (OB-GYN).

Living with it

• Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
• Bring a list of your medicines and questions to each visit.
• Stay active in ways that feel good to you.
• Get enough sleep and manage stress.
• Long-term illness can affect mood. Tell your doctor if you feel down or anxious.

Back to school, work, or sports

• Most people can keep working or going to school.
• Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

For caregivers

• Go to visits when you can and take notes.
• Keep a list of medicines, allergies, and doctors in one place.
• Learn the warning signs that need fast care.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Most causes are easily treated; cancer found early is very curable.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

• Do I need a biopsy?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Bleeding after menopause (needs checking)