I would recommend you see your GP in the first instance. The likely cause of the pain, bleeding and potential Urinary Tract Infection (UTI) is the hypo-oestrogenic state of your vagina. This is not uncommon after menopause and is caused by the lack of oestrogen to your vagina. This condition is known as atrophic vaginitis.
Your GP will need to obtain a thorough history, examine you, perform a Pap smear if required, and perform a pelvic ultrasound scan. A Urine specimen should be sent off to rule out a UTI. It is important to rule out any other pathology that may have caused the bleeding and the pain.
If a pathologic cause is excluded, I would recommend you commence on vaginal oestrogen therapy. There are 2 different treatments: Ovestin cream and Vagifem. I would recommend the latter which is Vagifem 10mcg (low dose). The risks with this treatment are minimal, and it is different from other forms of HRT as only small amounts of oestrogen is absorbed into your system and the majority of its effect is local. You can use this type of treatment life long with no increased risk of Breast cancer (there is now a lot of evidence in the medical literature proving the safety of this medication even in the context of a patient with a history of Breast Cancer).
You can be referred to a gynaecologist for further counselling.
If this fails, there is LASER treatment for severe atrophic vaginitis with good success rates. You can research your options in your area. This is not subsidised and can be a costly treatment though. There are several machines now such as the Mona Lisa or the Femme Touch.
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