Postmenopausal bleeding (PMB) is bleeding from the vagina that happens after a woman has stopped having regular menstrual periods because of menopause. Any vaginal bleeding that occurs 12 months after a woman’s last menstrual period is considered PMB.

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