Causes Of Spotting After Menopause

Causes Of Spotting After Menopause

Causes Of Spotting After Menopause Any kind of bleeding or spotting after menopause, that is, after one year of last periods, is not a healthy sign. If you have seen spotting after menopause than you should visit your gynecologist as it could be something as simple as hormonal disturbance and sometimes it can be something as serious as endometrial cancer.

But before the cause of spotting is diagnosed, you need not panic because it’s not only cancer which causes spotting after menopause; there are various other causes too. Here, is a checklist of the reasons that can cause spotting after menopause.

Common Causes Of Spotting After Menopause


Though polyps in the uterus or cervix are noncancerous growths but they can affect a woman’s menstrual cycle quite badly. When menstruating, they can cause heavy bleeding and clotting in a woman and once menstruation is over they can cause spotting among menopausal women.


If the uterine polyps are the cause behind spotting then they need to be removed, because in future they can be the site of cancerous growths in postmenopausal women.

Endometrial Atrophy

Sometimes, due to lack of estrogen hormone, the inner lining of the uterus, called endometrium, becomes thin. This is called Endometrial Atrophy. Endometrial Atrophy also causes spotting after menopause and it is one of the most common causes of spotting after menopause in women.

Endometrial Cancer

Endometrial Cancer

If there is cancer in endometrium than it can cause unexpected bleeding after menopause. One out of 10 women are affected with endometrial cancer hence spotting should not be taken lightly.

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Endometrium Hyperplasia

Endometrium Hyperplasia is another disorder caused by hormonal fluctuations. Contrary to endometrial atrophy, in endometrial hyperplasia, the endometrium becomes thicker due to hormonal fluctuations and causes spotting. Sometimes, cells in endometrium hyperplasia are abnormal which can further lead to endometrial cancer in a woman.

Obese women and women who had been exposed to hormone therapy for a long time are more prone to developing endometrium hyperplasia.  If identified with hyperplasia, then you should immediately seek treatment because hyperplasia increases the risk of endometrial cancer. Mostly, treatment includes surgery but sometimes it can be treated with medication and regular follow -ups.

Uterine Fibroids

Fibroids are also non-cancerous growths in uterus and like polyps they also cause heavy bleeding and clotting among fertile women and can cause spotting among post menopausal women

Uterine Fibroids

Generally, fibroids shrink in size, after menopause because of lack of estrogen and remain in the uterus without causing any problems. However, if fibroids cause spotting then they need to be removed because sometimes such fibroids turn malignant.

Other Causes

Sometimes certain medications like hormone replacement therapy, blood thinners, etc. can also cause spotting. Besides, infection in uterus or cervix or some other types of cancers can also cause spotting after menopause.

Most of the causes behind spotting are not life threatening but sometimes they can be fatal also hence in the best interest of your own health and well being you should get yourself checked as soon as you observe some kind of spotting or bleeding.

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