Postmenopausal Bleeding

Definition

Postmenopausal bleeding (PMB) is bleeding from the vagina that happens after a woman has stopped having regular menstrual periods due to menopause . Any vaginal bleeding that occurs 12 months after a woman’s last menstrual period is considered PMB.

Female Reproductive Organs
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Causes

PMB may be caused by several factors. These may include:

Risk Factors

Some medical conditions and medications you take can increase your chances of having PMB.

Symptoms

Vaginal bleeding is a symptom of PMB. Your doctor can determine what condition is causing the bleeding and whether it is serious. If you have PMB, you should see your doctor.

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done.

Tests will be done to find the cause of the bleeding. Tests include:

  • Transvaginal ultrasound
  • Saline infusion sonohysterography
  • Hysteroscopy

Your doctor may need cell and tissue samples. This can be done with:

  • Cervical cancer screening
  • Endometrial biopsy

Treatment

Talk with your doctor about the best treatment plan for you. The first priority is ruling out cancer. Treatment will depend on the findings of your tests and the cause of the bleeding. For instance, if your tests show signs of cancer, you will be referred to an oncologist, a doctor who specializes in treating cancer.

Prevention

PMB cannot be prevented.

Revisions

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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