Menopause is a moment, not a finish line. Gynaecological and intimate health remains part of health through all the later years — including after 65 or 75. The fact that periods ended long ago does not close the subject.

Four things are worth knowing.

Always report bleeding after menopause to a doctor. If a year or more has passed since your last period, any bleeding or spotting — even a single, small episode — is a reason to book an appointment at the earliest available date. Most often the cause turns out to be harmless, but a doctor has to make that assessment. With heavy bleeding or feeling unwell, seek help urgently.

Intimate complaints can be raised with a doctor directly. Dryness, burning, discomfort during sex, urinary complaints — these are common matters in later life and normal medical topics. Such a conversation can feel awkward, and that is understandable; doctors deal with these matters every day, and there are often ways to make the complaints less troublesome.

A new symptom is not just "what age does". If something has changed — in your body, discharge, the skin of the intimate area, how you feel — it is worth reporting rather than explaining it away by age. The assessment belongs to the doctor.

Appointments and check-ups do not end with age. Screening programmes have age limits, but health needs do not. What makes sense in your situation is decided together with your doctor.

Before an appointment you may — if you wish — write down observations and questions, on paper or in your phone. But you can also come without any notes: it is enough to say what is happening.

Sources: [1] WHO — Menopause (fact sheet); [2] NHS — Post-menopausal bleeding.

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