Hi, I've been post menopausal since age 50. I was
Can be due to vaginal dryness.
Thanks for posting your query.
Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus.
The most common other causes would be vaginal atrophy or dryness or problems related to the cervix.
The vaginal dryness would respond to topical estrogen replacement creams and a pap smear would be able to assess the state of the cervix to determine if there are any problems with it.
Lesions of the ovary can also cause this symptom but this can be ruled out on ultrasound.
You need to consider visiting your doctor for a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), ultrasound scan and if needed endometrial biopsy, CEA).
I hope this answers your query.
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Investigations are needed.
Thanks for writing again.
The investigations will help in ruling out any serious causes.
You can get the estrogen gel prescribed from your gynecologist for relief.
Hope my answer is helpful.
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