# Womb cancer symptoms: bleeding after the menopause

> Source: World Aid Network — https://worldaidnetwork.org/cancer/womb-cancer/symptoms

## In short

The main warning sign of womb cancer is unexpected vaginal bleeding — especially any bleeding after the menopause. Heavier periods, bleeding between periods, or unusual discharge also need a GP visit. About 10,000 people are diagnosed in the UK each year. Most cases are found early because the bleeding appears soon. This is general information, not medical advice.

Womb cancer — also called endometrial or uterine cancer — is the most common gynaecological cancer. The early warning sign is unusually clear, which is why Stage 1 survival is over 95% when people come forward.

A smear test does not screen the womb lining. Do not wait for the next screening appointment if you have unexpected bleeding.

## What bleeding should you report?

Any bleeding that is not normal for you is enough reason to book a GP appointment. You do not need pain as well.

- Any vaginal bleeding after the menopause
- Bleeding between periods, or periods that become much heavier
- Unusual vaginal discharge, especially if blood-stained
- Pain in the lower tummy or during sex

## Who is more likely to get womb cancer?

Most diagnoses are in women after the menopause. Higher oestrogen exposure over a lifetime — including obesity, some types of HRT, and never having been pregnant — raises risk. A family history of womb or bowel cancer should be mentioned to a GP.

## Does a smear test find womb cancer?

No. Cervical screening looks at the cervix. Post-menopausal bleeding still needs a separate check, usually starting with a GP examination and a referral for ultrasound or hysteroscopy.

## Key takeaways

- Unexpected bleeding, especially after menopause, should be checked even once.
- A smear test does not screen for womb cancer.
- Early-stage survival is high because the warning sign appears early.
- World Aid Network funds treatment overseas for patients who cannot pay — not NHS care.

## Related pages in this guide

- Overview: https://worldaidnetwork.org/cancer/womb-cancer
- Symptoms: https://worldaidnetwork.org/cancer/womb-cancer/symptoms
- Ultrasound & biopsy: https://worldaidnetwork.org/cancer/womb-cancer/tests
- Treatment: https://worldaidnetwork.org/cancer/womb-cancer/treatment

## Frequently asked questions

### Is spotting after menopause always cancer?

No. Many causes are benign. Cancer is one of the reasons it must be checked rather than watched at home.

### Can HRT cause womb cancer?

Oestrogen-only HRT can raise risk if you still have a womb. Combined HRT is used to protect the lining. Discuss your own prescription with a clinician.

### Do you fund womb cancer surgery overseas?

Yes, when a licensed partner hospital has recommended it for a patient who cannot pay, within our cancer programme.

## How you can help

World Aid Network funds cancer treatment for patients who cannot pay in Pakistan, Indonesia and Malaysia. Donate at https://worldaidnetwork.org/appeal/cancer-emergency or https://worldaidnetwork.org/donate?cause=cancer-treatment&appeal=cancer-emergency

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This is general information, not medical advice, published by World Aid Network. Always consult a qualified clinician about your own health.