Menopause is the end of menstruation. In clinical terms, you reach menopause when you haven't had a period for 12 months. The cause of your bleeding may be entirely harmless. However, postmenopausal bleeding could result from something serious, so it's important to see your doctor promptly. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Some forms of menopause hormone therapy may cause monthly bleeding. This includes cyclic hormone therapy preparations that contain a combination of estrogen and progestin. Progestin helps protect the uterus from endometrial cancer if you have an intact uterus. Menopause hormone therapy can result in light bleeding or bleeding that's as heavy as a normal period. If your bleeding concerns you, make an appointment to see your doctor or health care provider. Along with discussing your medical history and performing a physical exam, your doctor may order lab tests or a diagnostic procedure to identify the cause of abnormal bleeding after menopause.
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