Bleeding after menopause even when it is considered to be normal, is a sign for you to call on your doctor. When there is a decline in estrogen which occurs in post-menopause, there is a change in the lining of the vagina, as it becomes thin, dry, and less elastic. What happens then is the vaginal tissue can break or get inflamed which causes the bleeding. You may even at times get injured during sex or a pelvic exam.
[Read: Health Risks Post Menopause]
The above estimation is a general study so that it can give you an idea regarding the topic, now we will proceed to make an in depth analysis about the causes.
Polyps, which tend to be non cancerous growths and consist of the tissue that lines the inside of the uterus, can cause vaginal bleeding after menopause. The growths are attached to the uterine wall and the endometrial surface and causes pretty irregular and heavy bleeding. The polyps may also grow on the cervix or in the cervical canal thus resulting in bleeding and irritation. Women who are in the post menopausal state experience bleeding after sex due to polyps.
[Read: Know what is Colon Polyps]
Thinning of the Uterine Lining
A woman may also experience vaginal bleeding after menopause when the uterine lining or the endometrium thins down. What happens after menopause is that a woman may experience uterine atrophy, which is a condition where in the woman's uterine lining becomes too thin and begins to die as a result of a decline in the estrogen levels. Therefore, with the thinning of her lining, she will experience vaginal bleeding.
Another common cause of vaginal bleeding after menopause is said to be endometrial hyperplasia, which basically means an abnormal thickening of the uterus. Endometrial hyperplasia can cause abnormal vaginal bleeding in post-menopausal women. At times this can also cause changes in the uterine lining thus resulting in atypical hyperplasia. Atypical Hyperplasia is a dangerous condition which can even lead to uterus cancer.
Infection of the Uterus
An infection of the uterus may be the reason for vaginal bleeding in post-menopausal women. During an infection, it is found that a post-menopausal woman may experience vaginal bleeding after sex, a pelvic exam or a pap smear. This usually takes place due to a decline in estrogen and the thinning of the uterine lining. One must be careful t such times as any type of sexual activity or vaginal exams can tear the thin uterine lining thus causing vaginal bleeding.
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