Other than appropriate bleeding associated with utilisation of a sequential HT regimen, bleeding which occurs more than six months after the menopause, requires medical consultation and investigation. Such bleeding may be normal or due to atrophy (thinning) of the linings of the genital tract but an endometrial (womb lining) disorder must be excluded.

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Glossary - Menopause
What happens to my body in my forties and fifties?