Postmenopausal bleeding: What you Need to Know
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Postmenopausal bleeding is not usually adverse. However, it may indicate the presence of cancer. You should visit a private gynaecology clinic if postmenopausal bleeding happens once or if you don’t have any other symptoms. Women should be cautious if there is slight blood, spotting, pink or brown discharge, or not sure if it’s blood.

You should consult with a private gynaecologist if you’re facing any bleeding from the vagina after the age of 45 years.

Postmenopausal bleeding: What could be the causes?

Several causes can lead to postmenopausal bleeding. The following are the most usual ones:

  • Atrophic vaginitis or endometrial atrophy due to lower oestrogen levels.
  • Polyp growths, whether cervical or womb polyps are typically noncancerous.
  • Endometrial hyperplasia caused by hormone replacement therapy, high estrogen levels, or obesity can lead to womb cancer.

Postmenopausal bleeding can also result from less common causes. It includes cancers like ovarian cancer and uterine cancer.

What to Expect?

You don’t want to worry about long waiting periods from the NHS with the Top Gynaecologists private gynaecology clinic in London. With their expertise and experience in women’s health, our best private gynaecologists will ensure you receive the best care in the UK.

Top Gynaecologists offer a diverse range of tests to help diagnose your condition.

The following tests will help you understand the cause of bleeding and take the necessary steps to treat it:

  1. Ultrasound scan: A small device placed in your vagina to scan your problems.
  2. Pelvis and vagina examination: Our expert gynaecologists will insert a speculum into your vagina to hold it open, ensuring a proper view of the vagina and cervix.
  3. Hysteroscopy: A thin, telescope-like camera is passed up your vagina, via your cervix and into your womb. It will help take a tissue sample for testing.
  4. Physical examination: The gynaecologist will press on your tummy and inside of your vagina to assess bumps, tenderness, or other problems.

How do we treat postmenopausal bleeding?

Postmenopausal bleeding treatment will depend upon the cause. Based on your unique scenario, we create a customised treatment plan.

We may recommend polyps removal if our private gynaecologists find that the reason behind postmenopausal bleeding is cervical polyps. You may not require any treatment if you have vaginal or endometrial atrophy. However, our gynaecologists will prescribe oestrogen cream or pessaries.

If endometrial hyperplasia is the cause of your postmenopausal bleeding, our treatment plan will depend on the specific type of hyperplasia you have. We recommend:

  • No treatment
  • Hormonal treatment (Tablets or IUS, Intrauterine system)
  • Hysterectomy (Surgical removal of ovaries, cervix and uterus)

Sometimes, the culprit could be HRT side effects. Our private gynaecologists will change or cease your HRT treatment.

If you’re diagnosed with womb cancer, the gynaecology oncology specialist may recommend a total hysterectomy with chemotherapy, hormone therapy, or a combination of these treatments.

My Final Take

Remember that postmenopausal bleeding isn’t a severe problem. But it can suggest signs of cancer. Do not forget to take annual checkups with the Top Gynaecologists Clinic in London. Early diagnosis is the key to finding the appropriate course of treatment.

Consider visiting our private gynaecology clinic or booking an appointment to check your health condition with our gynaecologists. Postmenopausal bleeding can be challenging, but with an accurate diagnosis and treatment plan, we can fight against it.

Vivek Nama
Vivek Nama

I'm a Consultant Gynaecologist and Lead Gyn Oncologist at Croydon University Hospital. I pride myself on delivering compassionate and cost-effective care to all my patients. Patient satisfaction and experience are quintessential pillars of all my predominant decisions. With over 18 years of experience in gynaecology and gynaecological oncology, I strive to offer an evidence-based approach to my practice. It has been made effortless through my research activities and the many national and international presentations. If you are concerned about your gynaecological condition, I will be able to help you.