Vaginal bleeding after menopause isn't normal and should be evaluated.
The least likely but most concerning reason for bleeding after menopause is cancer of the uterus, which is why your gynecologist wants you to call if you have any vaginal bleeding. However, the more common reasons for bleeding include thinning of the tissues lining the uterus or vagina, some medications, uterine polyps, and bleeding from the urinary tract or rectum. The cause of your bleeding may be entirely harmless. However, postmenopausal bleeding could result from something serious, so it's important to see your doctor promptly.
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If you have not had a period in over 1 year and have any vaginal bleeding, even if it’s just a few drops when you wipe after going to the bathroom, you should call the office to schedule an appointment.