2. Irregular Bleeding
Once you hit menopause (defined as 12 months without a period), any postmenopausal bleeding is a warning sign, says Runowicz. "Any bleeding, staining, little drops on your underwear, or big clots are abnormal and should be immediately investigated," she says. Such bleeding could indicate something as benign as an endometrial polyp or something more serious like endometrial orcervical cancer.
Bleeding that is unusual for you -- spotting outside of your normal menstrual cycle or heavier periods -- should be looked into, Karlan says. Around menopause, abnormal bleeding is often tied to hormonal shifts, though more serious problems could be the cause, which is why all abnormal vaginal bleeding should be checked. Expect to receive a transvaginal sonogram and perhaps a biopsy.