Vaginal bleeding during menopause

Patient: I am a 51 year old female who stopped having menstral cycles about 4 years ago. I started having what appears to be a menstral cycle with mild cramping 2 days ago. Does this ever happen and should I be concerned?

Symptoms: Vagina bleeding

Doctor: Hi,Thanks for the query.I understand your concern.The possible causes of postmenopausal bleeding are decreased hormonal levels giving rise to thin and dry vaginal mucosa, thin endometrial lining etc, cervical erosion, neoplasia etc.Any type of postmenopausal bleeding should be carefully evaluated.So, please do consult your doctor once, get examined and go for investigations like ultrasound, papsmear etc.With this workup the possible cause of your problem can be identified and treatment can be planned accordingly.Take care.