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She also holds an Associate of Arts from the Art Institute of Dallas and a Master of Science in international health from University College London. Menstrual cramping after menopause can be caused by uterine fibroids.
Some forms of menopause hormone therapy may cause monthly bleeding. This includes cyclic hormone therapy preparations that contain a combination of estrogen and a progestin. The progestin is used to prevent endometrial cancer if you have an intact uterus. Menopause hormone therapy can result in bleeding that may be light or may be as heavy as a normal period. If you're concerned about your bleeding, make an appointment to see your doctor or health care provider. Potential causes of abnormal bleeding during or after menopause include: 1  Thinning of the tissue lining the vagina and uterus due to a decrease in estrogen. 2  Uterine polyps or fibroids.