Why you need to be aware of what’s happening “down there” – even after menopause

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1st September 2026NEWS

If you’re perimenopausal or postmenopausal, it’s even more important to be on the lookout for symptoms of gynaecological cancers.

A common myth among post-menopausal people is that you “don’t need to worry about things down there anymore.” This isn’t true at all. In fact, both ovarian and endometrial cancers are more often diagnosed after menopause than before.

It’s important you know your normal – and get help when something’s not right.

What are gynaecological cancers?

Gynaecological cancers begin when cells in the female reproductive organs grow abnormally. There are five main types of gynaecological cancers – cancers of the:

  • Cervix

  • Ovaries

  • Uterus

  • Vulva

  • Vagina

Endometrial cancer can also be grouped with these types of cancer, since it affects the endometrium – or the lining of the uterus.

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What are the symptoms of gynaecological cancers?

The symptoms of cervical, endometrial, ovarian, uterine, and vaginal cancers are quite similar. They include:

  • Unusual vaginal discharge

  • Vaginal bleeding between your periods or after menopause

  • Vaginal bleeding during or after sex

  • Pain in the tummy or pelvic area

  • Pain during sex

  • Difficulty peeing

  • Changes in bowel habits (constipation or diarrhoea)

  • Persistent bloating or feeling full

  • Unexplained weight changes

  • Fatigue or feeling very tired

The symptoms of vulval cancer are a little different:

  • Itchy skin on the labia, clitoris, and surrounding area

  • Changes to the skin on the labia, clitoris, and surrounding area – dryness, rough sex, or bleeding from the skin

The symptom crossover – and red flags

Part of the problem is that there’s a lot of overlap between these symptoms and perimenopause symptoms.

But there are some red flags to be aware of, including:

  • Unusual bleeding – increasingly heavy bleeding, bleeding between periods, or bleeding after your period has stopped

  • A change in your symptoms

What to do if you have these symptoms

If you’re experiencing the above symptoms or feel that things aren’t normal, it’s important to see a healthcare professional. The earlier we check, the better the outcome.

You can:

If your healthcare provider thinks you need further testing, an ultrasound is normally the first step.

How can you protect against these cancers?

HPV vaccination and cervical screening help to protect against cervical cancer.

But we don’t yet have screening programmes or vaccinations for other gynaecological cancers. That’s why it’s so important that you:

  • Know your body, know what’s normal – and what’s not

  • Know the symptoms and red flags

  • Don’t wait – get checked as soon as possible

Early detection and early treatment saves lives.

There are some risk factors that increase the likelihood of developing gynaecological cancers. This includes age, weight, lifestyle factors, hormones, medical conditions, ethnicity, and family history.

How are gynaecological cancers treated?

Treatment for gynaecological cancers vary depending on the type of cancer and how early it’s found. Your healthcare provider will talk to you about next steps.

Find out more

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