What to do if menopausal bleeding does not stop

The reason why menstrual bleeding does not stop during menopause is that the female hormone level in the body decreases, causing disruption to the growth and development of the uterine wall. You can take Ankun tablets or Gongxuening or Yunnan Baiyao orally for blood circulation treatment. If the medication is not effective, you need to go to the hospital for curettage and blood circulation. However, it is recommended to conduct a gynecological color Doppler ultrasound examination first to diagnose whether it is abnormal uterine bleeding due to functional imbalance, or gynecological diseases, cervical polyps or uterine fibroids. Hysteroscopic surgery may be necessary if necessary.

Menopausal women suffer from irregular vaginal bleeding due to the gradual decline of their ovaries, which can no longer produce perfect eggs and ovulate, resulting in the loss of normal regular changes in female hormones. This is called menopausal multifunctional bleeding.

Women with multifunctional bleeding during menopause mainly experience non-menstrual bleeding in the uterus, irregular menstrual cycles, varying lengths of menstrual periods, more or less bleeding, sometimes spotty menstruation for several months, and anemia. BBT single-phase electricity, the cells that fall out of the vagina are mainly the lowest layer of cells, or the middle and lower layer of cells. Cervical mucus crystals are seen in the form of fern-like structures with poor growth and development, and the uterine wall shows cystic or glandular hyperplasia. Blood endocrine examination showed increased FSH and decreased E2.

Causes of multifunctional bleeding during menopause

After women enter menopause, their ovaries begin to decline, the estrogen of the uterus and ovaries decreases, and the feedback function to the hypothalamus and pituitary gland is lost, which causes the gonadotropin secreted by the pituitary gland to increase to varying degrees. Although the eggs remaining in the uterus and ovaries continue to grow, they do not ovulate. Under the action of long-term estrogen, the glandular ducts in the uterine wall show a continuous proliferative reaction, which may cause mild hyperplasia, adenocystic hyperplasia, or cystadenoma hyperplasia. When estrogen levels fluctuate greatly, the uterine wall also sheds incompletely, resulting in irregular uterine bleeding.

Traditional Chinese medicine believes that women’s 49 days of menstrual exhaustion, kidney essence decline, Chong and Ren deficiency and weakness are the main causes, with kidney deficiency being the main cause. Because menopausal women's kidney essence gradually declines, the functions of the internal organs fail, the spleen is weak and damp, and they usually have no power to control their blood, which leads to metrorrhagia. Therefore, the functional uterine bleeding in menopausal women is largely manifested by the spleen's inability to control the blood type, with symptoms such as sudden metrorrhagia or continuous dripping, pale color and thin blood, fatigue and shortness of breath, pale face, swollen eyelids, pale and fat tongue, and deep and thin pulse. The treatment should be to strengthen the spleen and blood, and consolidate the Chong and Ren meridians.

Diagnosis of multifunctional bleeding during menopause

Multifunctional abnormal uterine bleeding is one of the common gynecological diseases, about 50% of which occurs in women during menopause. It is also known as functional bleeding during menopause. Menopausal women have irregular menstruation. After examination, if pregnancy, tumor, inflammation, trauma and blood disease are ruled out, and there is no IUD in the uterus, it can be diagnosed as functional bleeding during menopause.

It is generally believed that functional uterine bleeding is caused by neuroendocrine imbalance. Its specific manifestation is the change of menstrual period, including the change of cycle time and quantity. The clinical symptoms of functional uterine bleeding in menopausal women have the following characteristics.

1. Irregular menstrual cycle: One is a reduction in menstrual cycle, the other is an increase in menstrual cycle, reaching a time of 2-3 months or longer, or alternating between amenorrhea and regular menstruation.

2. Irregular menstrual cycles and menstrual periods: Menstrual cycles and menstrual periods can be long or short, sometimes more and sometimes less, or mainly manifested as continuous dripping.

3. Changes in menstrual volume: Some women experience a gradual decrease in menstrual volume, but some women experience a significant increase in menstrual volume, accompanied by large blood clots and heavy bleeding. In severe cases, symptoms of anemia such as panic and dizziness may occur.