Menstruation after amenorrhea is caused by inflammation

When women grow to a certain age, they will experience amenorrhea, which is a natural law. However, some women have menstruation again after amenorrhea, so this situation is abnormal and it is also a kind of inflammation. Therefore, many women who have menstruation again after amenorrhea want to know the specific reasons. In order for you to understand as soon as possible, please see the introduction below.

Middle-aged and elderly women have their periods again after menopause, or to be more precise, vaginal bleeding one year after menopause. People commonly call it "inverted bleeding", and clinically it is called postmenopausal bleeding. Postmenopausal bleeding may be caused by diseases of the vulva, vagina, uterus, ovaries, and fallopian tubes. Its causative factors may be inflammatory, endocrine (endogenous or iatrogenic), traumatic, foreign body, or even systemic hemorrhagic diseases, which may be benign or malignant tumors and non-organic diseases.

Common causes of vaginal bleeding

Endometrial cancer

Endometrial cancer is a group of epithelial malignant tumors that arise in the endometrium and are more common in perimenopausal and postmenopausal women. Irregular vaginal bleeding is the main symptom of endometrial cancer and is usually light to moderate in amount. In young women or perimenopausal women, it is often considered as menstrual disorder and ignored. Postmenopausal women often present with continuous or intermittent vaginal bleeding. Some patients only present with a small amount of bloody vaginal discharge after menopause. In late-stage patients, bleeding may be mixed with rotten meat-like tissue.

Cervical malignancy

In the early stages of cervical malignancy, patients feel almost no discomfort and have no symptoms, so it is easy to be ignored. However, as the disease progresses, patients may experience abnormal vaginal bleeding. Since young women are in their sexually active period, their estrogen levels and sexual intercourse frequency are higher, so they are more likely to have bleeding during sexual intercourse as the first symptom. Increased vaginal discharge is also a common symptom of cervical lesions. About 80% of patients with cervical malignancy have symptoms of increased vaginal discharge. It is worth noting that once irregular bleeding occurs, it usually means that cervical disease has reached the middle stage and the risk has increased a lot.

Endometritis

Generally speaking, endometritis does not cause vaginal bleeding, but it is not absolute. When the inflammation is very severe, there may be continuous small amounts of vaginal bleeding; when endometrial inflammation involves the myometrium, various symptoms worsen, there is fever, sometimes the body temperature exceeds 38 degrees, obvious and continuous lower abdominal pain radiating to both thighs, and continuous vaginal bleeding. If endometritis occurs after delivery, cesarean section or miscarriage, there will be long-term lochia retention. If not treated in time, the inflammation may develop into adnexitis, connective tissue inflammation, or even sepsis.

Submucosal fibroids

Uterine fibroids are located between the uterine muscle walls and grow in the direction of least resistance. When it gradually protrudes into the uterine cavity, or completely protrudes from the uterine cavity, its surface is covered only by a layer of endometrium - it is called a submucosal fibroid.

Uterine bleeding is the most typical symptom of submucosal fibroids, among which the bleeding of submucosal pedunculated fibroids is more obvious. This type of fibroid can produce symptoms in the early stage of the disease. Sometimes the fibroids are very small and can be easily confused with intrauterine polyps. Its clinical manifestations are mainly non-cyclic bleeding, manifested as irregular bleeding or continuous bleeding. The patient's bleeding time is uncertain, which can be long or short, from a few days to more than ten days or even dozens of days. The amount of bleeding is uncertain, sometimes it is dripping, and sometimes it is discharged as a large amount of blood clots, and the bleeding is mostly bright red.

Endometrial polyps

Endometrial polyps can occur at any age after puberty but are more common in women over 35 years old. Single, smaller endometrial polyps often have no clinical symptoms and are often only discovered during gross examination after hysterectomy for other diseases, or diagnosed after diagnostic curettage. Patients with multiple diffuse type often have excessive menstrual cycles and prolonged menstruation, which is related to the increase in endometrial area and excessive endometrial hyperplasia. The main symptoms are increased menstrual cycle volume or irregular uterine bleeding.

Benign ovarian tumor

Benign ovarian tumors are common gynecological tumors with many types. They can occur at any age, with the peak incidence being between 20 and 40 years old. Most patients are asymptomatic and the tumor grows slowly. By the time symptoms appear, the tumor has usually grown large. The cause is unclear, but may be related to environmental factors.

Benign ovarian tumors are related to hormones, genetic factors, etc. Some cases may experience irregular menstruation or postmenopausal bleeding.

Cervical erosion

Cervical erosion is not an independent disease, but a manifestation of other chronic cervicitis. The surface of a normal cervix is ​​covered by a layer of epithelium, which is smooth and pink in color. The deep tissues of the cervix develop chronic inflammation due to infection, which causes nutritional disorders and shedding of the surface epithelium. The peeling surface of the epithelium is gradually covered by the columnar epithelium of the cervical canal. The columnar epithelium is very thin, and the blood vessels and red stroma underneath can be seen, so it is called cervical erosion.

The return of menstruation after amenorrhea is caused by inflammation. Therefore, for the sake of their own health, many women who have already experienced amenorrhea must pay attention to the above content and have a comprehensive understanding of it. After understanding it, they should receive treatment as soon as possible to keep their reproductive system healthy, so as to improve their quality of life.