In the clinic Mr Sanusi offers investigations of post menopausal bleeding. He is able to perform ultrasound scanning himself and take a biopsy from the lining of the womb (endometrial biopsy). It may be necessary to perform a hysteroscopy under general anaesthetic, especially if a polyp is suspected.
Post menopausal bleeding is defined as bleeding occurring 12 months after a woman, without hormonal treatment intervention, has stopped having periods completely. It must always be investigated to rule out an underlying abnormality. In the majority of cases the bleeding is innocent and is often caused by atrophic changes due to the lack of female hormones. Other causes are polyps, fibroids, endometrial hyperplasia or cancer of the womb.
The video clip on this page shows Mr Sanusi’s findings of an endometrial polyp during a hysteroscopy on a woman with post menopausal bleeding.
Colposcopy can also be offered in the clinic if the cause of the bleeding is suspected to be due to a cervical problem.