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I've been post-menopause for about three years. I experienced the symptoms of vaginal atrophy almost immediately after menopause. Intercourse HURT LIKE HELL no matter how aroused I was or how much lubrication was produced naturally. It generally resulted in some minor tearing and bleeding no matter how careful my husband and I used to be.
Most Common Cause. A lack of estrogen is the most common cause of postmenopausal spotting in women not taking hormone therapy. Estrogen production drops to a low level after menopause, causing the tissues of both the vagina and uterus can become dry, thin and fragile. This is known as atrophy, which can cause bleeding.