Depending on the cause of postmenopausal bleeding, surgery, medication, progesterone therapy, radiation or chemotherapy may be the best treatment for the bleeding, according to WebMD. Any bleeding that occurs after a woman has gone without a period for more than a year is abnormal and requires immediate medical attention.
If polyps, which are noncancerous growths in the uterus or cervix, are causing the bleeding, surgery is often necessary to remove them and stop the bleeding, explains WebMD. If the bleeding is due to endometrial atrophy, which is the thinning of the tissue that lines the uterus caused by lower estrogen levels, doctors prescribe certain medicines to treat the condition. If the uterine lining has thickened to the point of causing bleeding, which is a condition known as endometrial hyperplasia, doctors may recommend surgery to remove areas of the endometrium. Doctors may prescribe progestin or progesterone therapy to treat a thick uterine lining caused by obesity. Often, women with endometrial hyperplasia have abnormal cells that predispose them to endometrial cancer, which leads doctors to monitor them regularly.
Postmenopausal bleeding is sometimes a symptom of endometrial cancer, according to WebMD. In these cases, patients usually undergo a total hysterectomy, which removes the uterus and cervix. In some cases, the surgery also removes part of the vagina, the ovaries, fallopian tubes and the surrounding lymph nodes. If the cancer is in an advanced stage, doctors may also recommend that patients undergo chemotherapy, radiation or hormone therapy.