Causes of bleeding after menopause

Due to female physiological characteristics, the period from 45 to 55 years old is called female menopause, and the main sign is menopause. It is generally divided into three stages: premenopause, menopause and mid-to-late menopause, which lasts about 10 years. Many women experience bleeding during menopause when having sex.

The first thing to do for women with menopausal vaginal bleeding is to eliminate uterine diseases, such as uterine fibroids, especially uterine fibroids under the uterine wall, which can easily cause vaginal bleeding. In addition, uterine polyps are also very likely to cause irregular vaginal bleeding. If the disease of the uterus can be eliminated, vaginal bleeding in menopausal women may also be caused by the decline of the ovaries and endocrine imbalance after menopause. Most of them will manifest as insufficient and incomplete corpus luteum and increased menstrual period. If the menstrual period used to be 3-5 days, it may now take 7-10 days. In addition, the menstrual cycle may also be shortened, resulting in vaginal bleeding during menopause. You must go to the hospital for an ultrasound examination to first check whether there is any organic disease in the uterus.

Abnormal uterine bleeding in women during menopause

It is a common disease among middle-aged and elderly women. It is mainly due to endocrine disorders and a sudden decrease in estrogen levels, which causes abnormal uterine bleeding. The characteristic of bleeding is that it is irregular, the amount of bleeding varies, and the duration varies. Because the bleeding lasts for a long time, it can cause secondary anemia, and symptoms such as dizziness, fatigue, panic, edema, insomnia, and tinnitus. The treatment standard for multifunctional abnormal uterine bleeding in menopausal women is to use Chinese and Western treatments to quickly activate blood circulation. After the bleeding stops, the menstrual cycle should be adjusted and the blood level should be reduced. At the same time, the systemic symptoms should be improved to avoid and correct anemia. If hemorrhage occurs, Chinese medicine treatment should follow the principle of "treating the symptoms in an emergency and treating the root cause in a slow manner". Activating blood circulation is only a temporary solution and is only an emergency measure; regulating the spleen and kidneys after the bleeding stops is a fundamental solution, restoring the body's vitality and gradually returning to normal.

Vaginitis and urinary tract infections in the elderly

About 30% of postmenopausal women develop vaginitis, mainly because the metabolism of female hormones decreases, which changes the natural environment of the female vagina, weakens the vagina's own defense against the outside world, and creates resource advantages for bacteria to invade. The clinical symptoms are excessive vaginal discharge, which is slightly yellow or water-soluble. In more severe cases, it may be pus-like and have an odor, and is often accompanied by vulvar itching, frequent urination, urgency, and pain when urinating. The main symptoms of urinary tract infection include frequent urination, urgency, inability to hold urine, painful urination, or recurring hematuria and pyuria. Subacute onset often presents with fever and increased white blood cell count. After the occurrence of senile vaginitis and urethral infection, in addition to active treatment and enhancing the body's immunity, one should pay attention to hygiene and pay attention to the cleanliness of the vulva. The vulva should be washed with warm water before going to bed or before intercourse. After defecation, do not wipe forward with toilet paper, but wipe backward to avoid contaminating the urethral opening. It is best to clean the anus with warm water after defecation. Also wash your underwear frequently. Don't eat spicy food to stimulate your diet.

Uterine prolapse in the elderly

As people age, the pelvic floor muscles lose their supporting strength, the tendons and connective tissues lose their elasticity and toughness, and the support for the uterus decreases, which can easily lead to uterine prolapse, often accompanied by cystocele and duodenal herniation. Patients with uterine prolapse may experience frequent urination, urgency or difficulty urinating, a feeling of falling in the lower abdomen and private parts, and urinary retention or incontinence. When standing up, a lump comes out of the vagina, which is more obvious after labor. If uterine prolapse occurs, you should go to the hospital for treatment as soon as possible. If it is mild, you can use a pessary, and if it is severe, surgical treatment is required. The method of tonifying the kidney, replenishing essence and lifting the uterus used in traditional Chinese medicine has actually very good results.

Sex organ malignant tumor

Women who have been postmenopausal for more than one year and experience vaginal bleeding have about a 30% chance of developing malignant tumors of the sexual organs. Vaginal bleeding is usually the main early manifestation of cervical cancer and uterine cancer. In the early stages of ovarian cancer, patients often experience lower abdominal discomfort and bloating. Middle-aged and elderly women may experience abnormal bloating. After eliminating gastrointestinal diseases, the possibility of ovarian cancer should be considered first.