Spotting after menopause can be concerning, but there are several potential causes. The most common reasons for light pink spotting in postmenopausal women include:
- Hormonal imbalances - Fluctuations in hormones like estrogen can cause spotting. Things like stress, diet changes, or medication side effects can disrupt hormones.
- Atrophy - Thinning and dryness of the vaginal walls (atrophy) from low estrogen is common in menopause. This can lead to bleeding from friction during sex or exams.
- Infection - Infections of the vagina, cervix, or uterus may result in spotting after menopause. Common culprits are bacterial vaginosis or pelvic inflammatory disease.
- Polyps - Both cervical and uterine polyps (small, benign growths) can become irritated and bleed lightly. Polyps are more likely in women taking estrogen.
- Cancer - While rare, uterine or cervical cancers can cause postmenopausal bleeding. Seek medical care promptly for evaluation.
Other causes like recent intercourse, a forgotten tampon, reactions to creams, or human papillomavirus may also be to blame.
When to see a doctor
See your healthcare provider if you have:
- Postmenopausal bleeding - Any bleeding after 12 months of no periods warrants evaluation, especially if you are not on hormones.
- This includes spotting, light periods, or heavy flow.
- New onset bleeding - Any new vaginal bleeding around or after menopause should be checked.
- Bleeding after sex - Bleeding following intercourse is not normal and needs assessment.
Your provider can help determine if it is atrophy, infection, polyps, or cancer causing the bleed. They may recommend:
Consider New Beginnings HRT Clinic for help
New Beginnings HRT Clinic offers customized
bioidentical hormone therapy to help resolve stubborn menopause symptoms like postmenopausal spotting. Our healthcare team specializes in
hormone imbalance treatment for women. We provide:
- Thorough symptom evaluation and lab testing to detect deficiencies
- Personalized treatment plans with bioidentical estrogen, testosterone, etc.
- Ongoing care and dose adjustments to optimize hormone levels
- Vaginal estrogen creams to treat atrophy and end spotting
With expertise in endocrinology and anti-aging medicine, New Beginnings HRT Clinic can get to the bottom of your hormone issues and help you feel your best.
Contact us today for a consultation!
