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A postmenopausal bleed (PMB) refers to any vaginal bleeding (even small amount) that occurs after 12 months of no periods following the menopause, regardless of whether you’re on hormone replacement therapy (HRT) or not (unless you’ve just started or changed the HRT or within the last 3-6months. It is normal to bleed unexpectedly when you start or swop HRT on any regime but if you’ve been on the same one and haven’t had a period for 12 months this is a red flag and needs investigation. Or if you
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