Bleeding during menopause? Find out when this is normal – and when you should see a doctor.

Unexpected bleeding in menopause can feel frightening, but it's actually more common than you may think and often nothing to worry about.

To clear any confusion, in this episode, menopause specialist Dr Naomi Potter explains the key differences between bleeding in perimenopause, bleeding while taking HRT, and bleeding after menopause. She breaks down when bleeding is completely normal, when doctors investigate further, and why you should never ignore certain symptoms.

💬 Topics include:

• Why bleeding patterns change in perimenopause

• What unscheduled bleeding on HRT means

• When bleeding should be investigated by your doctor

• The most common causes of post-menopausal bleeding

• Common benign causes like fibroids and polyps

• Why bleeding after menopause should be checked

• Treatments that can help control heavy or disruptive bleeding

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For more information and support about menopause, you can go to: https://www.menopausecare.co.uk/

00:00 – Bleeding in perimenopause explained

00:32 – What bleeding changes are normal in perimenopause

01:12 – When heavy periods should be investigated

01:45 – Causes of heavy bleeding (fibroids, polyps, endometrial changes)

02:05 – Bleeding when starting HRT

02:35 – Unscheduled bleeding on HRT (first 3–6 months)

03:05 – When bleeding on HRT needs investigation

03:35 – Transvaginal ultrasound: what doctors look for

04:15 – Treatments to control bleeding (progesterone, Mirena, dose changes)

04:55 – When to contact your doctor urgently

05:30 – Managing ongoing bleeding on HRT

06:05 – Treatments for heavy periods (Mirena, medications, surgery)

06:45 – How common abnormal bleeding investigations are

07:15 – Most common cause of bleeding after menopause (GSM)

07:55 – Where to find trusted menopause advice

#menopause #perimenopause #drnaomipotter