One drop of Post Menopausal vaginal bleeding is One drop Too Many!!!
If you are post menopausal (menopause is defined as no period for 1 year) and notice after a number of years that you have vaginal spotting or bleeding, you must contact me right away. While this may be a polyp in the uterus, which is benign, NOT cancer, you must be seen by a gynaecologist quickly, because this can be the first sign of Uterine Cancer. A biopsy needs to be done. If there is cancer, it requires a complete hysterectomy. That is usually the end of the story.
Now, the typical age for a woman to go into menopause is somewhere between 49 and 51. Some women go earlier and some go later. So, if a woman had no period for ALMOST 1 year, and then had some vaginal spotting, it may NOT be worrisome, but I prefer to act on ANY bleeding at all.