Postmenopausal bleeding (PMB) is bleeding from the vagina that happens after a woman has stopped having regular menstrual periods due to menopause. Any vaginal bleeding that occurs 12 months after a woman’s last menstrual period is considered PMB.
PMB should always be reported to a doctor. In most cases, it is not serious. In others, it can be the first sign of a serious disease.
Female Reproductive Organs
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PMB may be caused by several factors. These may include:
- Continuous hormone replacement therapy (HRT)
- Thinning and loss of elasticity of the vagina
- Inflammation of the endometrium, the lining of the uterus
- Endometrial hyperplasia, a thickening of endometrium
- Polyps, noncancerous growths on the uterus or cervix
- Infection of the uterus or cervix
- Endometrial cancer
- Cervical cancer
- Fibroid tumors in the uterus or vagina
Last reviewedJune 2013by Andrea Chisholm, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.