Post Menopausal Spotting

The Most Common Causes of Post Menopausal Spotting

The occurrence of post menopausal spotting can be an unexpected incidence to some women, especially if the transition to menopause occurred quite some time ago. In order to determine whether any sort of treatment is necessary, one must first discover why this spotting is happening. There are quite a number of possibilities, however we are going to talk about two of the most common or likely causes of post menopausal spotting. Bear in mind that both of these conditions require testing and a proper diagnosis by a gynecologist before a course of treatment can be administered.


Polyps are growths that develop in the lining of the uterus. These are not wholly uncommon among post menopausal women and vary in size as well as shape. In most instances, polyps are bulbous or orb-like and hang downwards from the uterus; however it is possible for them to take on a more flat appearance, similar to a skin tag. It is possible for polyps to be cancerous, but in most cases they are benign—especially if they are discovered soon after development. Polyps are likely to develop if one has been exposed to long term estrogen stimulation, which can occur if one fails to ovulate for several months.

Hormone Imbalance

Hormonal imbalances can also cause post menopausal spotting. In fact, this is one of the leading causes of spotting. It is not uncommon for tissues to build up within the uterus over time. Hormone supplements which are started or stopped suddenly, or natural fluctuations in one’s hormones can stimulate the lining of the uterus to shed this excessive tissue. This can result in spotting or light bleeding similar to that of a period. A hormone therapy which contains progesterone is especially likely to result in the shedding of buildup tissues. This is generally not something one needs to worry about, however if they are experiencing a bit of concern regarding spotting after hormone fluctuations, they may speak to their doctor or gynecologist.

Excessive Stress

There has been evidence to suggest that excessive stress can have an effect on a woman’s uterus, so much so that bleeding occurs. Stress has an uncanny way of invoking fairly extreme changes in hormones which trigger the uterus into shedding existing tissues, such as with hormone supplements. The death of a close friend or family member, anxiety over finances, or excitement over a visiting relative are just a few examples of situations in which one’s body might endure an excessive amount of stress. The length and heaviness of the bleeding usually depends upon how much tissue has build up on the lining of the uterus.

When It’s Time to See a Doctor

For the time being, any kind of bleeding after one has fully transitioned into the post-menopausal phase of life is considered to be “abnormal”. Although bleeding after menopause may not always mean that a serious condition is at work, it is possible that the spotting could be caused by cancer or another serious medical condition. As a general rule, one is considered to be in the post-menopausal phase if they have gone a year without experiencing a period. If spotting occurs after one period-free year, it is recommended that they see a gynecologist immediately. The best chance one has at preventing a serious problem from developing is to discover the cause of spotting as early on as possible. A trip to the doctor is especially recommended if one has to change a sanitary napkin nearly every hour for more than twenty-four hours or if the bleeding lasts for more than fourteen days. When it comes to health, it’s always better to adopt the ‘better safe than sorry’ approach!