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What Causes Vaginal Bleeding During Menopause?

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Posted on Wed, 6 Sep 2017
Question: What does it mean if you are post menopause but still bleeding
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Answered by Dr. Dr. Rakhi Tayal (3 hours later)
Brief Answer:
Can be uterine or cervical cause.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus.The other causes can be divided into gyneacological and non gynaecological. The most common gynaecological 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.

In terms of non gynaecological causes, this is not as common but has been documented in the medical literature.
The possible cause is most commonly infiltration of a lesion into the vaginal area. There have been cases where the bleeding was related to lesions that would have originated from the appendix, the kidney and a lady where the bleeding was related to a lymphoma.
These are rare scenarios but are possibilities.

This is not meant to alarm, if it has I apologize. You may want to consider visiting your doctor for assessment which may include a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), kidney blood tests such as creatinine. CEA)

Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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What Causes Vaginal Bleeding During Menopause?

Brief Answer: Can be uterine or cervical cause. Detailed Answer: Hello, Thanks for trusting us with your health concern. Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus.The other causes can be divided into gyneacological and non gynaecological. The most common gynaecological 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. In terms of non gynaecological causes, this is not as common but has been documented in the medical literature. The possible cause is most commonly infiltration of a lesion into the vaginal area. There have been cases where the bleeding was related to lesions that would have originated from the appendix, the kidney and a lady where the bleeding was related to a lymphoma. These are rare scenarios but are possibilities. This is not meant to alarm, if it has I apologize. You may want to consider visiting your doctor for assessment which may include a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), kidney blood tests such as creatinine. CEA) Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal