Any vaginal bleeding after menopause, even light spotting, is not normal and should always be checked by a doctor. It can have several causes, such as thinning of the uterine lining, polyps or fibroids, hormonal changes or thickening of the womb lining. In some cases it can be an early warning sign of uterine (endometrial) cancer. Other signs to watch for include pelvic pain, unusual vaginal discharge and unexplained weight loss. A gynaecologist may advise an ultrasound and, if needed, a tissue test to find the cause. Uterine cancer found early is often highly treatable, so do not wait or assume it is harmless. See a gynaecologist promptly if you notice any bleeding after menopause.
