Postmenopausal Bleeding

If you’re experiencing postmenopausal bleeding (PMB), Grosvenor Gardens Healthcare provides specialist assessment and care to determine the underlying cause and offer appropriate treatment. Our experienced gynaecologists understand the anxiety PMB can cause, and we’re here to guide you through every step—from initial examination to follow-up.

Why Choose Grosvenor Gardens Healthcare?

• Expert Gynaecology Team: Our consultants have extensive experience in diagnosing and managing PMB, ensuring personalised care in line with the latest clinical guidelines.
• Advanced Diagnostic Tools: We offer a range of investigations—such as ultrasound scans and endometrial biopsies—to accurately identify potential causes of bleeding.
• Patient-Centred Approach: Your comfort and peace of mind are our priority. We ensure clear communication, empathetic care, and swift results.
• Convenient London Clinics: You can choose to visit our Dulwich or Belgravia clinic, both offering discreet, professional environments.

Understanding Postmenopausal Bleeding

Postmenopausal bleeding is defined as vaginal bleeding that occurs after a woman has gone at least 12 months without a menstrual period (the menopause). While not always serious, PMB should be promptly evaluated, as it can sometimes signal underlying conditions requiring medical attention.

Possible Causes

• Atrophic Vaginitis or Endometritis: Thinning and inflammation of the vaginal or uterine tissues due to lower oestrogen levels.
• Polyps or Fibroids: Benign growths in the uterus or cervix can cause spotting or heavier bleeding.
• Endometrial Hyperplasia: An overgrowth of the uterine lining that can, in some cases, develop into endometrial cancer if untreated.
• Endometrial or Cervical Cancer: Postmenopausal bleeding can be an early symptom of gynaecological malignancies, highlighting the importance of early investigation.
• Hormone Replacement Therapy (HRT): Certain types of HRT may cause breakthrough bleeding.

Diagnosis & Assessment

1. Medical History: Your gynaecologist will discuss your symptoms, general health, and any risk factors to gain a comprehensive picture.
2. Pelvic Examination: A speculum exam allows visual inspection of the cervix and vagina for abnormalities.
3. Transvaginal Ultrasound (TVS): Measures the thickness of the endometrium (uterine lining) and checks for polyps, fibroids, or other structural issues.
4. Endometrial Biopsy: If your endometrial thickness or symptoms raise concerns, a biopsy may be taken for laboratory analysis.
5. Further Tests: Depending on initial results, additional investigations—such as hysteroscopy—may be recommended.

Treatment & Follow-Up

• Medication & Lifestyle: For minor atrophic changes, topical oestrogen creams or other therapies may relieve symptoms and reduce bleeding.
• Polyp or Fibroid Removal: Simple procedures can often remove growths that cause postmenopausal bleeding.
• Managing Hyperplasia: Hormonal treatments or minor surgical interventions may be used to address endometrial overgrowth.
• Cancer Care: If a malignancy is detected, we guide you through every stage of care, coordinating further treatments (e.g. surgery, radiotherapy) as necessary.
• Ongoing Monitoring: Your gynaecologist will arrange regular follow-up appointments to ensure effective treatment and long-term wellbeing.

Book Your Private Consultation

Postmenopausal bleeding can be alarming, but prompt assessment is key to ruling out serious conditions and ensuring peace of mind. At Grosvenor Gardens Healthcare, our aim is to provide swift, expert diagnosis and a bespoke treatment plan that addresses your needs.

Contact us today to schedule an appointment at either our Dulwich or Belgravia clinic. Together, we’ll work towards maintaining your health and confidence throughout the postmenopausal years.

Other Services we offer: 

Private Gynaecologists

Private GP

Private Paediatrician

Private Obstetrician & Maternity Hospital

Private Colposcopy