Bleeding after going through menopause should always be evaluated by a gynecologist or family physician. Other abnormal bleeding, such as that after intercourse or between periods in premenopausal women, should also be evaluated. Fortunately, for most women, the bleeding is due to benign causes such as vaginal atrophy, infection or endometrial polyps. However, abnormal bleeding is the most common symptom of endometrial and cervical cancers. It should always be evaluated with ultrasound and a biopsy. If cancer is present, early detection and treatment is the best way to improve your overall survival. –Andrea Jewell, MD