If you have spotting after menopause, don’t ignore it: “Any time you experience vaginal bleeding post-menopause, see your physician for at least a physical exam,” Dr. Andrews says. Depending on the diagnosis she suspects, she may suggest a trans-vaginal ultrasound.
One possibility is endometrial hyperplasia, a precancerous condition that causes the uterine lining to become extra thick. As the lining builds up, some spotting may occur, says Dr. Andrews. Endometrial hyperplasia is sometimes treated with progestin (via pills, shots, cream, or an IUD) to shed the thickened lining. Your doctor can determine if certain abnormal cells that increase your cancer risk are present; if they are, and as long as you aren't planning on having children, he may recommend a hysterectomy.
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