Pink discharge in menopause: what can it depend on?

Intimate discharge in menopause can be a common complaint, often experienced with worry. This is why they should always be referred to the gynecologist. When they are clear, of a color similar to pink, how should they be interpreted? Here’s everything you need to know about the possible causes of pink discharge in menopause.

This article has been reviewed by our doctors and specialists

The bleeding in menopause may be a result of hormonal changes .

When they occur, unexpected, they can also be a source of concern since the first thought is always that something is wrong.
Excluding it is the ” false menstruation” that can be typical of premenopause, or spotting that can be linked to the irregularities of the menstrual cycle in perimenopause, it is legitimate to ask: “And what are these losses now?”.

All kinds of menopausal bleeding

Blood loss in menopause can be of different types (light, red or very dark) and have different causes. In this post we deal, specifically, with the lighter ones, of a color similar to pink (if, on the other hand, you want to know how to interpret the different blood losses in menopause click here ).

In any case, remember that in the face of unexpected bleeding, of any kind, it is a good rule to contact the gynecologist . Do not delay waiting for the losses to disappear: even the single episode must be reported to the specialist because it could be a wake-up call not to be underestimated.

transvaginal ultrasound and a Pap test (two simple, quick and painless tests) are enough to investigate the causes of the leaks and diagnose any problems.

Pink discharge in menopause: what are they?

Clear, pinkish-colored discharges are composed of vaginal secretions in which, for various reasons, a small amount of blood ends up which gives them a slight pink tint. They are quite common and are not necessarily linked to menopause : they can also occur during pregnancy or in the days close to (before and after) the menstrual cycle or ovulation.

As we said, they can have different natures (you will find a list of their main causes below) but they have a common trait: when the leaks are clear it is never about spotting . In the latter case, in fact, the losses are always dark.

Pink discharge in menopause: what can it depend on?

Pink discharge in menopause can essentially depend on two types of factors:

  • Hormonal changes : due to a drastic drop in the production of hormones, in particular estrogen, hormonal imbalances can occur which also have repercussions on the flaking of the endometrium (thinner at the end of the fertile age).
  • Pathologies or infections: in this age of a woman’s life they may be more frequent due to an increased risk of contracting them due to the alteration of the bacterial flora and vaginal pH (due to a general change in the female genital system after 50 years ).

Pink discharge in menopause and Vulvo Vaginal Atrophy

L ‘ Atrophy Vaginal vulvo is a pathological condition chronic and progressive very frequent in menopause (affects 1 in 2 women), characterized by a thinning of the vulvar tissues, which become more brittle and less elastic.

It manifests initially with minor bleeding, itching and burning intimate , and    vaginal dryness . Then it can also lead to pain during intercourse and stiffening of the vaginal walls which, in the long run and especially in cases where there is no constant intimate activity, can lead to a narrowing of the vaginal entrance , that is to what is called scientifically stenosis.

A visit to the gynecologist is enough to identify the most effective treatment but, in this sense, an early diagnosis is essential. 

Pink discharge in menopause: what can be the other causes

The appearance of small losses may also have other causes on which, in any case, it is always good to investigate with the support of a gynecologist.

  • Uterine polyps or fibroids: they originate from growths of the endometrium (the tissue located inside the uterus) that grow out of their natural location, swell with blood and rupture causing losses. Polyps and fibroids are typically benign but are always worth getting checked.
  • Endometrial hyperplasia: these are due to the proliferation of glands in the endometrium and result in intimate blood loss. This pathological condition is more frequent after the age of 45 and is linked to specific risk factors such as obesity, diabetes and high-dose and prolonged hormone treatments based on estrogen.
  • Endometriosis : Less common in the age close to premenopause, endometriosis could also cause clear discharge. It is a disease of the endometrium that grows outside its natural location (the uterine cavity). In addition to bleeding, it causes pain, irritation and infection, but can sometimes be asymptomatic. However, endometriosis should improve with menopause.
  • Small losses after intercourse : In menopause it is not uncommon to notice small blood loss after a full intercourse. In this phase of life , intimacy changes due to physiological issues related to the reduced production of hormones, which leads to poor natural lubrication and therefore vaginal dryness . For this reason, the mechanical action on too dry walls can cause microtraumas and lacerations that can bleed. Also in this case, a visit to the gynecologist can be decisive to rediscover the pleasure of being in a couple and avoid embarrassing moments with your partner .


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