Pearl obstetrics | gynaecology

PMB | Bleeding after menopause

  • PMB in menopause
    Get checked if you have bleeding
    The sooner you get checked, the better. Call us.

PMB | Bleeding after menopause | Glengarry Private Hospital


Why is bleeding after the menopause important?

Bleeding after the menopause (post-menopausal bleeding or PMB) almost always needs to be investigated. It may sometimes be a sign of cancer. In most cases however, cancer can be ruled out after tests. If it is cancer, detecting it early can often result in good prospects for a cure.

What causes PMB?
In 90% of cases there won’t be a serious cause. The common causes are:

Atrophic vaginitis - which is when the vagina becomes inflamed due to the lower levels of hormones seen after menopause. It can be easily managed with special cream.
Cervical and endometrial polyps – small growths that are usually benign.These can easily be removed using hysteroscopy.
Endometrial (uterine) or cervical cancer – up to 10% of cases – both are very serious conditions and need to be diagnosed and treated as soon as possible.

What should I do now?
Call us if you have abnormal bleeding and we’ll fit you in for an appointment & any subsequent surgery as soon as we can.

What tests are needed?
Tests that we do may include

  • PAP smear test
  • colposcopy examination
  • vaginal ultrasound scan
  • Pipelle biopsy of the womb
  • Direct examination of the womb using a thin telescope called a hysteroscope, under an anaesthetic, in operating theatre.


Whilst scans are very helpful with bleeding after the menopause, they only have a 95% accuracy rate. Therefore, in most cases a hysteroscopy examination is the “gold standard” test. If you have a polyp inside, this can be removed at the same time as a hysteroscopy.

Bleeding after menopause

This type of bleeding should be urgently assessed. Call us and we'll fit you in ASAP.

PEARL obstetrics | gynaecology

Our office is situated near Glengarry Private Hospital in Perth. We provide easy free parking. We're easily accessible from Joondalup, Hillarys, Stirling, Currambine, Ocean Reef, Beldon, Connolly, Edgewater, Wanneroo, Burns Beach, Sorrento, Padbury, Marmion, Watermans Bay, North Beach, Karrinyup, Gwelup, Carine, Balcatta, Westminster, Mirrabooka, Malaga, Hamersley, Koondoola, Girrawheen, Marangaroo, Greenwood, Warwick, Madeley, Darch, Wangara, Kallaroo, Craigie, Heathridge, Woodvale, Scarborough, Doubleview, Innaloo, Osbourne Park, Wembley Downs, Tuart Hill, Trigg, North Beach. The Western suburbs (Cottesloe, Claremont, City Beach, Floreat, Swanbourne) are all within easy reach.