Post Menopausal Bleeding: What Every Woman Needs to Know

Postmenopausal bleeding is something that should never be ignored. For many women, the years after menopause are expected to be free from monthly bleeding, so when bleeding occurs, it can be alarming and confusing. The most important thing to understand is simple but critical: bleeding after menopause is not normal and must always be evaluated promptly. Following the philosophy and clinical approach of Dr. Steven R. Goldstein, a leading gynecologist, the guiding principle is clear — postmenopausal bleeding should be considered uterine cancer until proven otherwise. While this may sound frightening, the good news is that modern diagnostic tools make evaluation fast, accurate, and often painless. Menopause occurs when a woman’s ovaries stop functioning and no longer produce estrogen and progesterone. Without these hormones, the uterine lining (endometrium) should no longer build up and shed. Therefore, once a woman has gone 12 consecutive months without a period and is considered menopausal, any bleeding after that point is abnormal and requires medical evaluation. According to the clinical philosophy of a menopause specialist NYC such as Dr. Goldstein, the key is not to panic, but to act quickly and investigate the cause. Dr. Steven R. Goldstein MD is uniquely qualified in this area. He is a Certified Menopause Practitioner, a past President of The Menopause Society, and a past