Brief Answer:
Please go in for a pelvic exam.

Detailed Answer:
Hello and welcome,

Vaginal bleeding after a woman has gone thru menopause requires an evaluation.

There are a number of possible causes for this light bleeding including that the cervix is irritated and bleeds from the friction, and that there might be a small cervical polyp. There can also be other more concerning causes.

The thing to do is to go see whomever you see for gynecological care (FP or Gynecologist) who will do a pelvic exam with a speculum to see visually if everything looks healthy (vagina and cervix). Then she will palpate with 2 fingers of one hand in the vagina, and the other hand pressing over the uterus and ovaries to feel the size and shape of these organs.

Then, if no obvious signs of source of bleeding, she may do an endometrial biopsy. This is a very thin tube inserted into the uterus that removes small pieces of the lining of the uterus to be sent to a lab for evaluation. This procedure can be done in the office and does cause cramping during the procedure and for a little while afterwards.

Since you also have noted pressure, depending on what the doctor notes during the pelvic exam and bimanual exam, she may order a transvaginal ultrasound. For this you have an appointment in Radiology. The test involves using an ultrasound probe the ultrasound tech will give you for you to insert into your vagina and then the tech will hold the outer end of it and angle it different ways to visualize the uterus and ovaries. After the ultrasound, a radiologist will read the pictures and send your doctor a report.

Please don't worry, as it might just be a benign polyp, but do take action so that it can be sorted out.

I hope this information helps. Please let me know if I can provide further information or clarification.

If, in the future, you would like me to answer a question, you can preface your question with my name at the beginning of the first line.

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