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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly
No menses for a month generally mean menopause. So bleeding after menopause especually heavy is not normal. Possible causes of mild spotting include thinning of vaginal lining because of estrogen decline.
However if its profuse like in a period then causes such as a polyp or other abnormal growth/ tumour must be ruled out. Endometrial cancer is one of the sinister causes. You need a thorough gynecological exam to look for possible causes of postmenopausal bleed.
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