Postmenopausal bleeding: when to get help

1. 1

   Is any of this happening now?

   Call 911

   Seek emergency care if heavy bleeding occurs with fainting, severe dizziness, confusion, marked weakness, chest pain, or difficulty breathing.

   These symptoms may mean that blood loss is affecting your circulation.

   And for anyone, someone who:

   • is bleeding heavily and it will not stop with firm pressure
   Other emergency signs, for anyone

   • Someone who is struggling to breathe, gasping, choking, or cannot get words out
   • Someone who has chest pain, tightness or pressure lasting more than a few minutes
   • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
   • Someone who is unconscious, or cannot be woken
   • Someone who has had a seizure that will not stop, or does not wake up afterwards
   • Someone who has lips or skin that look pale, blue, grey or blotchy
   • Someone who you believe has taken an overdose or swallowed something poisonous
   Yes, one of theseNo, none of these
2. 2

   Is any of this happening?

   Be seen today

   Book a prompt medical appointment for any vaginal bleeding after menopause.

   You should be assessed even if:

   • It happened only once
   • There was only a small amount
   • You are taking HRT
   • You have no pain or other symptoms
   • A previous assessment found no serious cause but bleeding has returned

   Seek same-day medical advice if the bleeding becomes heavy, such as soaking through a pad in about an hour, or if you are passing large clots.

   Severe or rapidly worsening pelvic or abdominal pain also needs urgent assessment.

   Yes, one of theseNo, none of these

Every sign above is quoted from the sofidex article on Postmenopausal bleeding. If you are not sure, err upward — it is always reasonable to be checked.