Spotting After Menopause

What You Need to Know about Spotting After Menopause

So you’ve run across some spotting after menopause had made you think you left the days of pads behind. It’s like coming home to find that all of your adult children have lost their jobs and moved back home. You are no doubt wondering what it means and if you should be concerned.

To begin, there is probably nothing to worry about.  About one in four women experience some bleeding or spotting after menopause.  In the vast majority of cases, this is not a serious condition.  However, to err on the side of caution you should make an appointment to discuss your symptoms with your gynecologist so that you can rule out the more serious causes. 

Here then are some possible causes for spotting after menopause.

Hormonal Imbalance

The most common cause for spotting after menopause is the body’s attempt to adjust to new hormonal therapy.  This is especially likely the cause if you have recently begun or adjusted your prescription for hormonal therapy.  In some women especially, any change in the body’s hormone levels is greeted by new attempts to begin cycling again.

Generally, this is not a matter for worry and usually dissipates as the body gets used to new hormone levels.  In some cases, it requires further adjustment in hormone treatments.


Like so many other problems, stress could have something to do with spotting after menopause.  When the problems of life start feeling overwhelming, when we have problems with our loved ones or worry about the health and well-being of our families, our stress levels can cause our bodies to react in strange ways.  So if you have just lost your job, or your son moves back in, or your husband is having health problems, you might start spotting again.

The only real solution to deal with problems that are beyond our control is good diet, exercise and stress relieving strategies like taking up a hobby, relaxation therapy or yoga.

Poor Nutrition

Another common cause for spotting after menopause is poor diet.  When we don’t eat right, it can throw our hormones all out of whack and this can leading to bleeding.  The spotting is our body’s way of telling us that something is wrong and that we need to address matters.

The key here is obvious.  You should consult your gynecologist about what kind of vitamin supplement you should take and change your diet so that you are eating fewer basic carbohydrates, less sugar and fewer fats.  These dietary changes, combined with increasing the physical activity in your life, will not only help against the spotting but generally improve your outlook.

Sudden and Extreme Weight Loss

If you have recently begun an extreme diet or had your stomach stapled, then this may be the cause of your spotting.  The fats that are released into your blood system by these methods could be converted into estrogen and then lead to spotting or even bleeding like that in full-fledged periods.

This reaction, however, may also be a sign of unhealthy dieting and you may want to find greater balance in your diet.

Bleeding After Sex

You may find that you are bleeding shortly after sex.  This is probably not because you are having particularly rough sex; more likely, the cause is that your new hormonal levels are producing less moisture, which is creating greater chances for cuts and bleeding.  This is likely the cause if you have noticed greater discomfort during sex and if the spotting tends to happen shortly after sex.

The solution here is easy.  There are several gels, some with small levels of progesterone that help increase moisture and can even heighten pleasure during sex.

Cancer, and Other Serious Conditions

In addition, yes, spotting could be a sign of cancer or some other serious condition.  This is not the common cause, and in the vast majority of cases, it is one of the other causes we have already mentioned.  However, if it is cancer, then you want to deal with it earlier rather than later.  When caught in these early stages uterine cancer is easily treated by surgical removal.  So you should not fear going in to find out for sure—especially if you have a familial history of cancer.

You are only in danger if you delay and give the cancer a chance to spread.  Dilly dallying can become a life threatening situation.  So make an appointment today to see your gynecologist and regain your peace of mind!




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