Sometimes, due to the decline in estrogen that occurs postmenopause, the lining of the vagina becomes thin, dry, and less elastic. This can lead to broken or inflammed vaginal tissue that may cause bleeding. Occasionally injury may occur during sex or pelvic exam.
Always call your health care provider when you experience bleeding after menopause. The cause of uterine bleeding postmenopause may be harmless; however, it's important to understand that there may be other causes of abnormal bleeding such as:
- uterine fibroid tumors
- a hormonal imbalance
- the use of birth control pills
- non-cancerous growths in the lining of the uterus