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  • With Mayo Clinic gynecologist and obstetrician

    Mary M. Gallenberg, M.D.

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Question

Bleeding after menopause: Is it normal?

I thought I was in menopause because I haven't had a period in three years. But then last month, I suddenly got my period again. What's up? I'm 50 years old.

Answer

from Mary M. Gallenberg, M.D.

Menopause is the end of menstruation. In clinical terms, you reach menopause when you haven't had a period for 12 months. Vaginal bleeding after menopause is not normal and should be evaluated by your doctor. The cause of your bleeding may be entirely harmless. However, it's important to know that postmenopausal bleeding has a number of serious causes, including cancer. So see your doctor promptly.

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References
  1. Perimenopausal bleeding and bleeding after menopause. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp162.cfm. Accessed Feb. 26, 2010.
  2. Lentz GM. Differential diagnosis of major gynecologic problems by age group: Vaginal bleeding, pelvic pain, pelvic mass. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/185916689-3/0/1524/59.html?tocnode=53758955&fromURL=59.html#4-u1.0-B978-0-323-02951-3..50011-X_235. Accessed. Feb. 26, 2010.
  3. Goodman A. The evaluation and management of uterine bleeding in postmenopausal women. http://www.uptodate.com/home/index.html. Accessed Feb. 26, 2010.
AN01824 April 8, 2010

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