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What Causes Cramping and Bleeding After Menopause?

Written by Theodore Shackleford - January 17, 2023

The occurrence of unexpected cramping and bleeding after menopause is a common concern for many women. Commonly referred to as menorrhagia, this condition can be the result of several potential causes.

Hormones

Hormonal imbalances are often the primary cause of excessive cramping and bleeding after menopause. As reproductive hormones begin to decline during the period of transition, estrogen levels may become too low, resulting in an unstable and potentially painful uterine lining. This instability can lead to irregular and overly heavy periods that may also involve cramps due to increased muscular contractions. In some cases, these symptoms may persist long after the cessation of regular menses.

Infection

Vaginal or urinary tract infections may also contribute to frequent cramping, as well as vaginal spotting or bleeding during or between periods. Infections can increase irritation and inflammation in the uterus and other reproductive organs, leading to pain during menstruation or at other times throughout the month. Talk to your doctor if you experience any unusual discharge from the vagina that could signal a possible infection.

Uterine Fibroids

Uterine fibroids are noncancerous growths found in up to 80% of women over 50 years old, according to research published by Harvard Medical School researchers

Polyps

Uterine polyps are another noncancerous condition which resembles small warts on the inner walls of the uterus

Cancer

Although rare before menopause, endometrial cancer is one possible explanation for extreme bleeding at this stage in life

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