What Causes Spotting After Menopause?

What Causes Spotting After Menopause? | MenopauseCoach.com

All women have to face the issue of menopause and its consequences. Of course, this state isn’t pleasant at all. It induces many health inconveniences for women who are aged 45-55 years. While most problems occur during this natural female stage, some of them take place after it ends. For example, many women face spotting after menopause. It’s also known as bleeding.

Spotting after this vital life stage is quite a natural outcome of the time when menstruation cycles fully stop. Many women get alarmed and anxious because of vaginal spotting after menopause. You should not worry beforehand. Perhaps everything is alright and you’re healthy. You should get worried if the frequency and severity of bleeding are persistent and heavy. In this case, you should consult a doctor to check your current health state.

Many women ask even about light spotting causes. They do everything correctly because severe bleeding may be a sign of some hazardous disease. The possible causes are:

You’re Still in the Perimenopause Stage

Firstly, your bleeding is caused because of the fact that menopause has not yet come. You may be surprised how many times women mistakenly thought that they have spotting after menopause and were wrong.

Secondly, you should not forget that the perimenopause stage may last from 1 to 4 years. Therefore, make sure these years have already passed. Perhaps you still have your periods and so, you don’t have a vaginal discharge after menopause. Remember that menopause is confirmed if you don’t have menstruations for 12 consecutive months.

Vaginal Atrophy

One of the most widely spread causes of spotting after menopause is vaginal atrophy. It’s a thinning of the walls of your vagina, as well as its dryness and inflammation. The experts claim that it happens because of reduced amounts of estrogen in the body of a mature woman. The lack of estrogen levels leads to a genitourinary syndrome of menopause or briefly GSM. In such a situation, bleeding is not the only symptom. It may be accompanied by:

  • Dryness of vagina;
  • Burning and/or itching during the day;
  • A feeling of burning and some pain when urinating;
  • Abnormally often urinary tract infections of various kinds;
  • The impossibility to hold the urine for long;
  • Sufficient discomfort during intercourse.

The issue of vaginal atrophy it serious. Take it seriously and check-up with your doctor to prevent serious problems.

Thinning or Thickening of Tissues

Another common reason for spotting is related to the thickness of the vaginal tissues. In this case, it may be either thinning or thickening of the tissues that are also called endometrial atrophy and endometrial hyperplasia respectively. The thinning develops because the body lacks estrogen. The thickening develops because of too high levels of estrogen and too low levels of progesterone.


At times, bleeding occurs because of polyps. These are growths that commonly appear on the uterus. However, they may also grow on the cervix and cervical canal. If they become too large, they cause bleeding.


It’s quite possible that excess spotting after menopause is induced because of certain infections. They are transmitted during sex. There are many infections that are frequently accompanied by pain and blood loss. You should immediately see a doctor to begin the treatment.

Hormone Replacement Therapy (HRT)

As women age, they lose their main hormone – estrogen. Oftentimes, they pass HRT to return the natural balance. This therapy also cures other symptoms of menopause. Among such are:

  • Vaginal dryness;
  • Acceleration of skin aging;
  • Bone loss, etc.

Unfortunately, this therapy may lead to spotting after menopause. Mind that sometimes, other medications may develop spotting too. Commonly, these are various blood thinners.


The most serious reason why spotting after menopause occurs is cancer. This is a life-threatening disease and must be taken seriously. Commonly, the proof of the disease is accompanied by other symptoms. These are pelvic pain and bleeding between periods. Obligatorily consult a specialist to define the truth.

What about the Color of Blood of Spotting After Menopause?

Oftentimes, many women are puzzled by the color of discharge they see. They get used to a bright red color, which means it is true blood. Nonetheless, they don’t understand what the brown vaginal discharge after menopause means. We can comfort you. There is no reason to panic because it’s also your blood. It may be brown or even black because this is old blood that somehow lingered in your vagina and has bled out too late. Therefore, it’s a common blood loss.

How Can Doctor Help with Spotting after Menopause?

If your spotting is intensive, you must get alarmed. It may induce serious consequences. You should turn to a professional if the blood loss in durable and severe. Besides, it may appear together with other symptoms. These may be cramping and spotting after menopause, spotting and back pain, and so other combos. When you come to a doctor, he or she may:

  • Ask about your medical history;
  • Ask about current medications (if you take any);
  • Do a physical examination;
  • Take a swab to make sure the bleeding isn’t caused by infections;
  • Check on cancer cells;
  • Take a sample of blood;
  • Take a sample of tissues;
  • Undertake some other measures.

All these measures help to identify the problem or confirm its absence. You have to get patient. Afterward, your doctor will appoint the necessary curing for your spotting. Its form is dependent on the type and severity of your problem, as well as your natural responses to certain curing measures. The most typical treatments are surgery, hysterectomy, and hysteroscopy. If your bleeding is caused by sexually transmitted infections, you’ll be prescribed medications. In the case of cancer, chemotherapy or such-like measures are necessary.

Now you know what does spotting after menopause mean and what causes this state. This article has shown that spotting is a normal condition for every woman. You only should pay attention to the frequency and severity of your bleeding. Be cautious and self-aware to prevent possible health issues.

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What Causes Spotting After Menopause?
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by Sophia on MenopauseCoach.com

I now understand that I am in perimenopause and it scares me a little. But now I am undergoing examinations in an excellent clinic and working with a psychologist so that this period does not become so terrible for me. I hope everything works out. What I wish for everyone.


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

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