Bleeding after menopause can be caused by various factors; the blood vessels that line the uterus may become fragile and break due to reduced levels of estrogen. Hormone replacement therapy can also cause vaginal bleeding. Endometrial cancer can cause this symptom, as well. Whether this or another condition is the cause of the bleeding, it is important to take vaginal bleeding after menopause seriously. The symptom may indicate an abnormality in the uterus, cervix, or pelvis.
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