Is it necessary to have a curettage for menopausal metrorrhagia?

After women enter menopause, they may experience menopausal syndrome, so many symptoms will appear in their bodies. Theoretically, women in menopause should have stopped menstruating long ago, and there would be no bleeding at this time, but some women experience metrorrhagia and are worried about the need for curettage treatment. So, is it necessary to have a curettage for menopausal metrorrhagia? Let’s take a look below.

Menopausal metrorrhagia does not necessarily require curettage. For patients with metrorrhagia, if the amount of bleeding is not large, oral medications can be chosen for treatment, such as Gongxuening Capsules or Fukezhixueling. However, if the bleeding does not stop, a diagnostic curettage is required to stop the bleeding. In addition, after curettage, a pathological examination of the endometrium is also required to exclude endometrial lesions.

Causes of menopausal metrorrhagia

1. Kidney Yin Deficiency

Some women experience metrorrhagia during menopause due to kidney yin deficiency. The symptoms of metrorrhagia caused by this reason mainly include irregular bleeding, tinnitus, dizziness, hot hands and feet, thick and bright red color, etc.

2. Kidney Yang Deficiency

Kidney yang deficiency may also cause menopausal metrorrhagia. The symptoms of metrorrhagia caused by this reason include clear and long urination, fear of cold, pale tongue with white coating, dull complexion, light menstrual blood, etc., which are different from the symptoms of kidney yin deficiency.

3. Spleen deficiency

Some menopausal women are prone to symptoms of spleen deficiency, which can also lead to menopausal metrorrhagia. If patients experience symptoms such as shortness of breath, fatigue, loss of appetite, heavy and irregular menstruation, and facial edema, it may be metrorrhagia caused by spleen deficiency.

4. Dampness and heat

Damp-heat is also called blood heat. The main symptoms of menopausal metrorrhagia caused by this cause include constipation, thirst and fever, heavy and dark menstrual flow, red tongue with yellow coating, etc.

What to do about metrorrhagia during menopause?

1. Find out the cause

After a woman experiences metrorrhagia, it is necessary to find out the cause of the metrorrhagia. Since there are not many causes of metrorrhagia, different causes will have different coping measures. Common causes include emotional imbalance, excessive fatigue, improper diet, endocrine disorders, etc.

2. Enhance nutrition

Women who experience menopausal metrorrhagia need to supplement the nutrients they need and eat more high-protein foods, vegetables, fruits, etc.

3. Get enough sleep

Women who experience menopausal metrorrhagia must ensure the quality of their sleep and allow their bodies to get better care so that they can be healthier.

4. Timely treatment

Because it is abnormal to have metrorrhagia during menopause, after finding the cause of metrorrhagia, take effective measures to stop the bleeding first, and then treat it according to the cause. It is best to go to a regular hospital for timely treatment and not to be careless.