Bleeding after amenorrhea_Menstruation after amenorrhea

Menopause is a period that no woman wants to face, because when a woman is in menopause, it proves that she is gradually moving from middle age to old age. During this period, women's tempers will become particularly bad, their emotions will become very sensitive, and an important physical phenomenon will occur: amenorrhea. Amenorrhea mainly refers to the cessation of estrogen secretion in women's bodies, but why does bleeding occur after amenorrhea?

1. After menopause, the endometrium shrinks due to lack of support from estrogen secreted by the ovaries. However, for some women, the endometrium is still stimulated by a small amount of estrogen secreted by the adrenal glands after menopause, causing the endometrium to grow and cause uterine bleeding. This situation can be finally confirmed through diagnostic curettage.

2. Some women usually suffer from severe cervical erosion and cervical polyps, so bleeding may be induced after sexual intercourse.

3. Senile vaginitis

The main characteristics are excessive vaginal discharge, bloody discharge and odor. It is mainly due to the decline of ovarian function and low estrogen levels, which cause the disappearance of glycogen in the vaginal epithelium, reduced vaginal secretions, and alkaline properties, which weaken women's vaginal resistance and eventually cause infection and lead to senile vaginal. If a gynecological internal examination is performed, it can be found that the vaginal mucosa has atrophied and thinned, and scattered bleeding spots and surface ulcers can be seen on the vaginal mucosa.

4. Endometritis

The main clinical manifestations are increased leucorrhea and a small amount of bleeding. The endometrium of postmenopausal women shrinks and becomes thinner due to the loss of the effect of estrogen, the surface epithelium flakes off, and the cervical endometrium becomes inflamed. If a gynecological examination is performed, an enlarged and tender uterus may be found, sometimes accompanied by fever.

5. Cervical cancer

The main clinical manifestations are contact bleeding, bloody leucorrhea and irregular vaginal bleeding.

6. Endometrial cancer

The clinical manifestations are irregular vaginal bleeding of small or moderate amounts or bloody leucorrhea before and after menopause. Gynecological examination: The uterus did not shrink, but was full and hard, and there were no abnormal changes in the cervix.

7. Ovarian cancer

Because the tumor produces a large amount of estrogen, the atrophic endometrium is affected by estrogen and proliferates, leading to vaginal bleeding. Gynecological examination: solid masses can be felt on one or both sides of the lower abdomen. The sizes vary, usually medium in size, and some may have cystic changes.

For patients with postmenopausal vaginal bleeding, the first thing to do is to understand in detail the amount and nature of the bleeding, the length of time since menopause, the presence of a pelvic mass, and other symptoms. If necessary, a vaginal exfoliated cytology examination should be performed to make a clear diagnosis as soon as possible so that symptomatic treatment can be started as soon as possible.