IMPORTANT: For all Post-menopausal Bleed clinic appointments, patients are reminded to take pain relief, such as 1gram of paracetamol and 400mg of ibuprofen, or the normal pain relief you take at home, one hour before the appointment. It is important that you eat and drink as normal before your visit to prevent feeling dizzy or faint.
What is Post-menopausal Bleeding (PMB)?
Post-menopausal bleeding refers to bleeding at least 12 months after your periods have stopped, or abnormal bleeding whilst on hormone replacement therapy (HRT). Post-menopausal bleeding should always be investigated.
There are several causes for bleeding after the menopause. In over 90% of cases, it is something very simple, particularly if you are taking HRT. However, in a minority of women (fewer than 10%) there can be an abnormality in the lining of the womb (the endometrium) or occasionally on the neck of the womb (the cervix). The cells in these regions can become abnormal or cancerous. We would like to stress that in over 90% of all cases there is no evidence of cancer.
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