Many women experience vaginal bleeding after menopause. While some of these cases can be due to serious conditions like cancer, many of them are harmless and are caused due to hormonal changes that have occurred during menopause.
Light bleeding from the vagina can be triggered due to the hormonal changes in a woman’s body after menopause. This is a temporary phase and is often due to problems in the endometrial lining of the uterus.
Causes Of Post Menopausal Bleeding
Hormone Replacement Therapy
One of the most common causes that can be attributed to vaginal bleeding after menopause is hormone replacement therapy. Hormone replacement therapy is taken by many women who want to alleviate the symptoms associated with menopause. Mostly symptoms like hot flashes, night sweats, mood swings, insomnia etc. will be taken care of with the help of HRT.
As a result of hormone imbalances in the body, especially the imbalances in the female sex hormones estrogen and progesterone, the uterine lining or the endometrium will be affected. The endometrium becomes irritated and very sensitive and this can cause bleeding which may be occasional.
Lack of sufficient estrogen in the body after menopause will slowly cause the degeneration of the uterine wall and slowly the blood vessels of the uterine lining too become weak and might start bleeding.
Endometrial hyperplasia is a condition in which the endometrial lining starts thickening due to accumulation of cells. Endometrial hyperplasia can be a dangerous condition if left untreated as it can develop into endometrial cancer.
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Polyps or non cancerous growth that are found in the uterus may be another reason that can cause post menopausal bleeding. When the polyps are located on the uterine lining, post menopausal women can bleed. Treatments with medications or surgical removal of the polyps will help in treating the condition.
When the amount of estrogen in the body declines after menopause, the vaginal walls too start thinning and can become inflamed as well. Vaginal atrophy can cause several symptoms like burning while urinating, vaginal dryness, pain during sex, shortening of the vaginal canal, bleeding after intercourse etc. Estrogen therapy is normally done to stop the deterioration and discomfort. Vaginal lubricants can help at the time of intercourse.
About 20 percent of the women who have bleeding after menopause find that it is due to serious conditions like endometrial cancer. Endometrial cancer is more common in older women, over the age of sixty and those women who undergo estrogen replacement therapy without the involvement of progesterone. Endometrial cancer risk increases in women who are obese, have never had children, infertile, have PCOS, have had early menstrual cycles and late menopause.
Vaginal dryness is a very common symptom after menopause. Estrogen imbalance is the most common reason behind vaginal dryness. Dryness of the vagina can cause severe pain and discomfort during sex and while moving around. Natural ways to improve vaginal moisture is to use evening primrose oil, soy isoflavones, flax seeds, wild yam etc. Vaginal creams too can be used to ease the discomfort.
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