Menopause is usually diagnosed in women over 45 who have not had a period for more than a year. Any bleeding from the vagina after this time needs to be checked by a GP.
Postmenopausal bleeding is not usually serious, but can be a sign of cancer. Cancer is easier to treat if it's found early.
The GP should refer you to hospital or a special postmenopausal bleeding clinic. You should not have to wait more than 2 weeks to see a specialist.
A specialist, who may be a nurse, will offer you tests to help find out what's causing the bleeding and plan any necessary treatment.
The tests may include:
There can be several causes of postmenopausal bleeding.
The most common causes are:
Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian and womb cancer.
Treatment depends on what's causing your bleeding.