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Several things can cause postmenopausal bleeding, and a common one is vaginal dryness. Tang says the vagina can get easily irritated, which can lead to spotting. Polyps can also cause bleeding ...
A cervical polyp is a common benign polyp or tumour on the surface of the cervical canal. [2] They can cause irregular menstrual bleeding but often show no symptoms. Treatment consists of simple removal of the polyp and prognosis is generally good. About 1% of cervical polyps will show neoplastic change which may lead to cancer.
[3] [6] Bleeding from the blood vessels of the polyp contributes to an increase of blood loss during menstruation and blood "spotting" between menstrual periods, or after menopause. [7] If the polyp protrudes through the cervix into the vagina, pain (dysmenorrhea) may result. [5]
Cancer of the uterus is always a concern, specifically when the bleeding occurs after menopause. Other types of cancer include cervical cancer; bleeding in that case can sometimes be triggered by postcoital bleeding. Cancers of the vagina or fallopian tubes are rare causes of hemorrhage.
Your bleeding patterns will start to change as you event menopause, but bleeding after menopause can be the sign of a more serious medical issue.
Pelvic pain (along with abnormal bleeding and brown discharge) is a symptom of cervical cancer. If you're experiencing these symptoms and haven't had a Pap smear in the past year, talk to your doc.
Endometrial cancer (cancer of the uterine lining) — bleeding can also be irregular, in between periods, or after the menopause (post-menopausal bleeding or PMB) Endometrial polyp; Painful (i.e. associated with dysmenorrhea): Pelvic inflammatory disease
The bleeding can be from the uterus, cervix, vagina and other tissue or organs located near the vagina. [4] Postcoital bleeding can be one of the first indications of cervical cancer. [5] [6] There are other reasons why vaginal bleeding may occur after intercourse. Some women will bleed after intercourse for the first time but others will not.