Hello, and thank you for your question. I will be happy to assist you. Answers are for educational purposes only.
When you bleed after menopause, it is called postmenopausal bleeding.
It needs to be evaluated.
Most of the time, it is due to the uterine lining being very thin due to lack of estrogen.
It can however be due to something more serious
There are situations where the lining can be overstimulated and you can develop a precancer or a cancer of the lining
So any bleeding needs to be evaluated by your gynecologist
Typically they can do an ultrasound and look at the thickness of the lining of the uterus
If it is 4mm in thickness or less, then that is very reassuring that it is not something serious causing the bleeding.
Thicker than that, and you should have a sampling of the lining of the uterus obtained.
The sampling can be done in the office with an endometrial biopsy.
Sometimes a dilation and curettage procedure
Do you have any questions?
Please let me know if you have any questions and I will be happy to answer them.
Best of luck.
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