causes breakthrough bleeding after menopause
Spotting or bleeding after menopause can be surprising and concerning, especially if your last period was many years ago. The most common causes of spotting after menopause include thinning of the reproductive tract tissues and hormone therapy.
Most Common Cause. A lack of estrogen is the most common cause of postmenopausal spotting in women not taking hormone therapy. Estrogen production drops to a low level after menopause, causing the tissues of both the vagina and uterus can become dry, thin and fragile. This is known as atrophy, which can cause bleeding.