Bleeding 20 years after partial hysterectomy?

Not normal: If you had a partial hysterectomy (uterus only removed and ovaries/tubes left in) 20 years ago and are now having vaginal bleeding, you need to have it investigated as this would not be expected to occur at this stage of life. See your usual doctor to discuss. If he/she is unable to assess, then request referral to an ob/gyn physician.

Vaginal atrophy: It needs to be clarified whether or not you still have a cervix. If you still have a cervix, then you might be bleeding from the cervix. If you do not have a cervix, then vaginal bleeding is probably related to "thinning" and fragility of the vagina that comes with menopause. In either case, you must schedule a visit with an ob/gyn.