By Dr. M V R Shailaja
Mrs X comes to my clinic for an appointment but it’s not for her regular annual visit. She is here for vaginal bleeding that has taken her by surprise. She says she attained menopause a couple of years ago. She looks anxious and worried and asks what it could be?
Most women who experience bleeding after menopause are understandably concerned. After all, they thought they were done with it. Menopause is officially confirmed if it has been 1 year since your last menstrual period.
Any vaginal bleeding after the menopause is called postmenopausal bleeding or PMB. Postmenopausal bleeding can range from light spotting that is pinkish-grey or brown, all the way to a heavy flow, like a regular period. Most of the time, there is no pain with the bleeding.
No matter what the symptoms are, one may need to consult a gynaecologist if this happens.
The gynaecologist may then ask questions like when did you attain your menopause? Are you using any other medications? Do you have any other health problems?
Once the detailed history is taken, the gynaecologist will do pelvic examination where they look at the vagina and cervix and feel for the size of the uterus to find any obvious cause of the bleeding.
Further evaluation depends on the patient’s age and how long they have been experiencing the symptoms and the amount of bleeding. Pelvic ultrasound or a biopsy to be taken from the lining of the uterus may then be suggested by the...
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