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Menopause Health Center

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Postmenopausal Bleeding

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How Is Postmenopausal Bleeding Treated?

Treatment depends on what's causing the bleeding.

If polyps are to blame, surgery may be needed to remove them.

Endometrial atrophy can be treated with medication alone.

Endometrial hyperplasia may be treated with medication, such as progestin or progesterone therapy, or surgery to remove thickened areas of the endometrium. If you have endometrial hyperplasia, you'll need to get checked by your doctor on a regular basis.

How Is Endometrial Cancer Treated?

Endometrial cancer can be treated with a total hysterectomy, a surgery in which the uterus and cervix are removed. In some cases, part of the vagina will also be removed; the ovaries and fallopian tubes may also be removed, along with nearby lymph nodes.

People with more advanced endometrial cancer may also need to undergo radiation, hormone therapy, or chemotherapy.

Although bleeding on and off during perimenopause is normal, bleeding after menopause is not. Any postmenopausal bleeding, regardless of how light it is, should be checked out by your doctor as soon as possible.

Although there is a very good chance that something minor is causing the bleeding, there is also a chance that cancer could be to blame. If it is cancer, the sooner you get treated, the more likely you are to have a full recovery.

WebMD Medical Reference

Reviewed by Traci C. Johnson, MD, FACOG on June 28, 2014
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