While it may be caused by non-serious conditions, it should always be investigated, as it can sometimes be a sign of something more serious. Common causes include vaginal atrophy (thinning of the vaginal walls due to low estrogen), polyps, hormone replacement therapy (HRT), blood thinners (like aspirin) or endometrial (uterine) hyperplasia. In a small percentage of cases, it may be a symptom of endometrial cancer, which is why prompt assessment is important and an ultrasound is necessary.
Symptoms can vary but usually involve light spotting, heavier bleeding, or pink or brown discharge. Treatment depends on the underlying cause. For example, vaginal estrogen may be prescribed for atrophy, polyps may be removed, and hyperplasia may be treated with hormones or surgery. If cancer is diagnosed, treatment may include surgery, radiation, or other therapies. If you experience any bleeding after menopause, it’s important to see your healthcare provider for evaluation.
