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Rapid Access Clinics - Post Menopausal Bleeding

Menopause is the time after you have your last period. Because your final periods can be irregular, menopause is confirmed 12 months after your last period. Bleeding or spotting after this point is called postmenopausal bleeding (PMB).

Post-menopausal bleeding (PMB) represents one of the most common reasons for referral to gynaecological services, largely due to suspicion of an underlying endometrial malignancy. Women presenting with postmenopausal bleeding will therefore be referred to our rapid access clinics.

Most of the time, postmenopausal bleeding is caused by:
• inflammation and thinning of the lining of your vagina (called atrophic vaginitis)
• thinning of the lining of your uterus
• growths in the cervix or uterus (called polyps) which are usually not cancerous
• thickened endometrium (called endometrial hyperplasia) often because of hormone replacement therapy (HRT)
• abnormalities in the cervix or uterus.
These are generally not serious problems and can be cured relatively easily.

However, about 10 per cent of the time, post-menopausal bleeding is linked to cancer of the cervix or uterus and so it is very important to have it investigated.

The aim therefore of the Rapid Access clinic is to provide the highest quality evidence based service for all women. Referral will be via the cancer two week urgent referral pathway.

Specialist staff who provide care include Consultants, Specialist Nurse Hysteroscopists / Colposcopist and staff nurses. They will perform preliminary diagnostics and ultrasound scanning.

Clinics are held at:

Bishop Auckland Hospital   
1st Floor     
Colposcopy unit
Tuesday 9-5:30pm 

Chester le Street Community Hospital
1st Floor     
Colposcopy unit
Thursday 9-5:30pm

'As I was very, very nervous, I must have been the worst patient ever and they were brilliant with me and I can't thank them enough - could you please pass on my sincere thanks.'

Patient, Hysteroscopy Unit, Chester-le-Street Community Hospital