Bleeding after the menopause (PMB)

Any vaginal bleeding after the menopause needs investigation. This also includes no bleed forms of hormone replacement therapy. The causes are often benign such as the presence of polyps within the womb cavity but it is important to exclude pre-cancer and cancer changes within the womb lining and cervix and of those women who experience such bleeding approximately 5% will unfortunately have some form of malignancy.

PMB is investigated initially with a pelvic ultrasound. If the lining (endometrium) of the womb is thin and can be seen clearly patients can be reassured and no further investigation is required. If the lining of the womb is thicker than expected then a hysteroscopy and a sample of endometrium should be taken for analysis.

Because of the risk of cancer, the early investigation of post-menopausal bleeding is important. At the Gynaecology Group we are able to guarantee an appointment with one of the Consultant Gynaecologists and a pelvic ultrasound and hysteroscopy being performed, if required, in less than 1 week from referral. This rapid service allows the earliest diagnosis and hopefully reassurance for patients.