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A woman who has already gone through menopause, should not experience any menstrual bleeding. Menopause is when you haven’t had a period for at least a year. If you are bleeding, even if it’s just spotting, you should consult your Gynecologist. It could be something serious like cancer. But normally, postmenopausal bleeding is caused by endometrial hyperplasia – the thickening of the uterine lining, endometrial atrophy – thinning of a woman’s uterine lining, and polyps.