Vaginal bleeding after menopause, also known as postmenopausal bleeding, can be an indication of uterine cancer in about 10% of women, vaginal dryness, polyps (noncancerous growths), or other changes in your reproductive system.

Vaginal bleeding that happens more than a year after a woman’s last period isn’t normal. The bleeding can be light (spotting) or heavy (postmenopausal bleeding), and menopause is the time in a woman’s life (around age 51) when reproductive hormones decline and her monthly menstrual periods stop.

Symptoms of Postmenopausal bleeding

However, depending on the cause of the bleeding, symptoms may be present in many women who experience postmenopausal bleeding.

There are still some symptoms that postmenopausal women may experience, although many menopause symptoms, such as hot flashes, frequently start to lessen during this time.

Women who have undergone menopause may experience the following symptoms:

• vaginal dryness
• decreased libido
• insomnia
• stress incontinence
• increased urinary tract infections
• weight gain

Causes of Postmenopausal bleeding

Following menopause, the following conditions are the most frequently responsible for bleeding or spotting:

• Endometrial or vaginal atrophy (thinnened and dried uterine or vaginal lining).
• HRT, or hormone replacement therapy, is a method of treating menopausal symptoms by supplementing with estrogen and progesterone.
• Endometrial cancer or uterine cancer, which affects the uterus’ lining.
• Endometrial hyperplasia is a condition in which the uterine lining becomes abnormally thick.
• uterine polyps, or uterine tumors.

Other causes can include:

• cervix cancer, also known as cervical cancer.
• Endometritis or cervicitis (cervical or uterine infection or inflammation).
• bleeding in the rectum or bladder, or from the vulva’s skin (on the outside, close to the vagina) can also occur nearby.

Diagnosis of Postmenopausal bleeding

The woman will likely be questioned about any symptoms she may be having before the examination for postmenopausal bleeding begins.

• when she first became aware of her signs
• how much she bleeds
• if her family has experienced postmenopausal bleeding in the past

A doctor might advise one or more tests in response to a woman’s symptoms.

In order to determine the cause of postmenopausal bleeding, various tests may be performed, for instance:

• Dilation and curettage (D&C)In this procedure, the cervix is widened or dilated in order to collect a larger tissue sample, and a hysteroscope, a specialized instrument, is used to view the interior of the uterus in order to detect any potential growths.
• Endometrial biopsyThe goal of this procedure is to take a sample of the uterine lining tissue, which will then be examined for the presence of abnormal cells, such as cancerous cells, using a small, thin tube inserted into the vagina to reach the cervix.
• HysteroscopyThis technique allows a doctor to see inside the uterus and its lining while identifying polyps or other abnormal growths by inserting a tool with a thin, lit camera on the end.
• SonohysterographyA transabdominal ultrasound is a procedure that involves injecting fluid into the uterus through the vagina, and then using sound waves to visualize the uterus.
• Transvaginal ultrasoundIn order to view the uterus from the bottom of the uterus rather than the lower abdomen, a special ultrasound probe is inserted into the vagina during this procedure.

HomeopathicTreatment of Postmenopausal bleeding

SABINA –One of the best treatments for dysfunctional uterine bleeding with sex excitement is sabina. The symptoms include menstruating too frequently and too early, gushing hot, watery, bright red blood mixed with clots, severe uterine pain that extends into the thighs, pain from the sacrum to the pubis and from below upwards, and shooting pain up the vagina.

THLASPI BURSA PASTORISLeucorrhea before and after menstruation, which is bloody, dark, and offensive, as well as sore uterine pain upon rising, dysfunctional uterine bleeding with violent uterine pains that are colicky or cramping in nature, backache associated with bleeding, large clots that may accompany the blood, and bleeding that may be caused by fibroids or uterine cancer are all causes of these symptoms. Another effective treatment for these symptoms is thlaspi bursa pastor.

TRILLIUM PENDULUM –One of the best treatments for dysfunctional uterine bleeding with severe pain in the hip and back, bleeding that appears to be caused by uterine fibroids, bleeding that gushes bright blood with the slightest movement, prolapsed uterus, and uterine haemorrhages are trillium pendulum and menstruation that lasts even two weeks.

CHINA OFF– China is recommended for irregular bleeding that is accompanied by fainting, convulsions, and extreme weakness as well as menstrual cycles that are premature, dark, profuse, and clotted with abdominal distension.

CALCAREA CARB– Calcarea carb is great for dysfunctional uterine bleeding with headache, colic, chilliness, and leucorrhea. Cutting pain in the uterus during menstruation. Menses too early, too profuse, too long with vertigo, toothache, and cold damp feet, the least excitement causes them to return. Calcarea carb persons are fat, flabby, and fair. They have a particular craving for boiled eggs and indigestible things like chalk, pencils,

PHOSPHORUS –Phosphorus is prescribed for fibroids, uterine polyps, or cancer-related uterine bleeding that is frequent, profuse, or short between periods.

SEPIA –Menopausal symptoms like hot flushes, irritability, and sadness are also noticeable, as well as a feeling of the uterus bearing down, and sepia is effective for dysfunctional uterine bleeding during this time.

CHAMOMILLA –When there are pushing pains and dysfunctional uterine bleeding brought on by anger, chamomilla works well.

AMBRA GRISEA –Ambra grisea is a treatment option for menstrual bleeding that occurs between periods and is thought to be caused by exertion, at least occasionally.

Or As Directed by Physician