Thank you for your query.
Yes even after a gap of 20 months also you can get menstrual cycle once or twice or occasional bleeding. If you have been using any hormonal replacements it would as well be related to that. To be on the safer side it is better to see the doctor & undergo screening for genital cancer. Sometimes post menopausal bleeding could as well be a symptom for that.
Hope that answers your query. Have a good day.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.