Postmenopausal bleeding? Be careful with these

Generally speaking, women will no longer experience vaginal bleeding after menopause. If some women still experience bleeding symptoms after menopause, they should be careful whether it is a sign of gynecological disease. Below we will introduce in detail the relevant matters about menopausal and postmenopausal bleeding.

What is postmenopausal bleeding?

If you stop having menstruation for a year after your last menstrual period, then the last menstrual period is called menopause. Postmenopausal bleeding is a clinical symptom and one of the common gynecological symptoms in elderly women. It can be caused by many reasons, most of which are benign diseases, but it is also an early sign of some malignant tumors, so it cannot be ignored.

Causes of postmenopausal bleeding

First of all, some women occasionally experience a small amount of vaginal bleeding or breast tenderness 2 to 3 years after menopause, especially those who take anti-aging health products or drugs. This is due to the accumulation of a small amount of estrogen, which stimulates the endometrium and causes endometrial shedding. The bleeding stops after discontinuation of the product or drug. For some people, estrogen levels drop after menopause, the resistance of the vaginal mucosa decreases, causing atrophy and inflammation, and bloody vaginal discharge. Alternatively, if there are small uterine fibroids growing close to the endometrium, a small amount of bleeding may also occur. In some elderly women, the supporting tissue of the uterus declines and becomes loose, resulting in uterine prolapse. Their underwear often rubs against the cervix, causing erosion and bleeding. These are benign lesions, so don't be afraid.

Second, people with high-risk factors such as hypertension, diabetes, obesity, or those with a family history of cancer are at high risk of endometrial cancer. This group of people is prone to endometrial thickening, hyperplasia, endometrial polyps, and postmenopausal bleeding. If not taken seriously, the endometrium may overproliferate or even atypically proliferate, which can become a precancerous lesion.

Third, cervical lesions lead to postmenopausal bleeding. Cervical polyps, cervicitis, etc. are also common causes of postmenopausal bleeding. Cervical cancer is a malignant tumor, and its earliest manifestation is vaginal bleeding or bleeding after sexual intercourse. Of course, there are other symptoms of cervical cancer, such as vaginal discharge, increased leucorrhea, etc.

Fourth, ovarian tumors can also cause postmenopausal bleeding. In particular, tumors that can secrete hormones can also cause postmenopausal bleeding.