Understand the concern
Possible causes include fragile tissues, polyps or changes in the womb lining. Cancer is one reason investigation matters, not an automatic diagnosis.
What assessment may involve
Assessment may include examination, vaginal ultrasound, and sometimes hysteroscopy or a sample of the womb lining.
Care options to discuss
Treatment depends on the findings. Tell the team about hormone therapy and any further bleeding while awaiting assessment.
These are discussion points, not a prescription. Suitability and availability vary.
Practical next steps
Arrange assessment even for a single episode or small amount of spotting after menopause. Record the date, amount and associated discomfort, and mention HRT or other medicines. Do not wait to see whether it happens repeatedly before seeking advice.
Follow-up and decisions
You may be offered an examination, vaginal ultrasound, hysteroscopy or a tissue sample depending on findings. Ask how to prepare and how discomfort will be managed. Confirm who explains results and what to do if bleeding returns after an initial reassuring assessment.
A question you may have
Does one small episode still need checking?
Yes. Arrange assessment even if the bleeding has stopped.
Prepare for your appointment
What to record
Record the date, amount and any hormone treatment.
Questions worth asking
Which tests will investigate the womb lining?
What should I do if bleeding happens again?