Postmenopausal bleeding

Postmenopausal bleeding mainly refers to the menstruation of women after they enter menopause and no longer come. If the menstruation stops for more than one year, some common choices are that it is because of some early signals of the disease. Vaginal bleeding is also the most common. They are mainly diseases of the vulva, vagina and uterus. The most common is intrauterine bleeding, which is also the most complicated. Vaginal bleeding can be benign or malignant, with different symptoms.

Vaginal bleeding is mainly a benign disease. Senile vaginitis, endometritis, cervical polyps, endometrial polyps and cervicitis are also common diseases. Therefore, the more common diseases are mainly endometrial cancer, cervical cancer and ovarian cancer, which are relatively serious.

Benign vaginal bleeding after menopause generally has no obvious systemic symptoms, the bleeding is not too severe, cachexia-like constitution rarely occurs, and there is no obvious abnormality in the leucorrhea, unless it is accompanied by bacterial infection, there will be an abnormal odor. The amount of bleeding in senile vaginitis is small, often with spotting of blood, and is accompanied by itching and burning sensation of the vulva, or distension and discomfort in the lower abdomen. Sometimes Trichomonas and fungi can be found, but the size, shape and texture of the uterus are normal. Endometritis causes regular vaginal bleeding. About half of the patients experience lower abdominal pain or heaviness, increased vaginal discharge, and if it is an acute case, fever may also occur. Gynecological examination shows no obvious abnormalities, and antibiotic treatment has a significant effect. Cervical polyps are also a common cause of bleeding. Bleeding from this disease often occurs during sexual intercourse. Gynecological examination or B-ultrasound examination can detect polyps on the cervix, which are different from malignant tumors. A biopsy can be performed when in doubt. Uterine stroke syndrome, obstructed bleeding is very similar to menstruation, with a slightly larger amount of bleeding. If complicated by infection, low fever and leukocytosis may occur. This disease has symptoms of arteriosclerosis and abnormal heart function. A series of symptoms of heart failure such as cough, dyspnea, palpitations, heart enlargement, lower limb edema, and liver enlargement often occur. The uterus is normal in size and there is no mass in the pelvic cavity. Diagnostic curettage confirmed endometrial necrotizing bleeding.

Malignant disease occurs after menopause and also has vaginal bleeding. This type of disease causes bleeding and is often accompanied by a series of malignant disease symptoms, poor physical constitution, weight loss, fatigue, low fever, bloody vaginal discharge with a bad odor, and no obvious effect of antibiotic treatment. Endometrial cancer is often accompanied by irregular vaginal bleeding, or bleeding with discharge. The discharge is yellow watery and has a particularly unpleasant odor. There is also lower abdominal pain and abdominal masses. Abnormalities can be detected through B-ultrasound and gynecological examinations. This disease is often accompanied by a history of diabetes, hypertension, obesity, multiple births, nulliparity, infertility, etc. Cervical cancer may also cause irregular vaginal bleeding, bloody discharge, abdominal pain, a feeling of falling, and in the late stages, frequent urination, urgency, pain, or hematuria. Ultrasound or gynecological examination may reveal an abnormal cervix. Ovarian cancer is also a common malignant tumor. The causes of this disease are complex and varied, but all of them have symptoms such as lower abdominal discomfort, abdominal mass, abdominal pain, vaginal bleeding, etc. It can be diagnosed through gynecological examination, relevant instrument examination and laboratory tests. Fallopian tube cancer is an uncommon malignant tumor that has symptoms similar to those of the above diseases, but they are not as obvious.

The above are common phenomena after menopause, so finding out the causes of vaginal bleeding after menopause in time is the key to correctly treating this disease. Therefore, vaginal bleeding is not an isolated symptom, but a disease and an external manifestation of multiple diseases. Vaginal diseases in daily life are also relatively critical. If found, they must be discovered and treated early and should not be taken lightly.