What should I do if I have hemorrhage during menopause?

Modern medicine believes that when women reach menopause, their kidney function will begin to slowly fail, and their reproductive function will also slowly be lost. During menopause, the body's various organs will also experience an imbalance of yin and yang. This will lead to the symptoms of menopause. Menstrual changes are also more obvious in women during menopause. It often manifests as uterine bleeding and hemorrhage. So what should women do during menopause? Let’s take a look at it next.

Menopausal metrorrhagia is a manifestation of menopausal functional uterine bleeding (dysfunctional uterine bleeding). The cause of the disease is that when women enter menopause, the ovulation function gradually stops, and the ovaries no longer secrete progesterone. Under the action of a large amount of follicle-stimulating hormone, the follicles develop to varying degrees, secreting a certain amount of estrogen or the secretion of estrogen fluctuates irregularly, causing the endometrium to show proliferative changes under the action of estrogen alone. When estrogen levels decrease, it causes endometrial shedding and bleeding. For example, if you suffer from uterine fibroids, excessive endometrial thickening, or incomplete endometrial shedding, the uterus may contract poorly and cause heavy uterine bleeding in a short period of time, leading to menopausal hemorrhage. Excessive bleeding or prolonged bleeding is often accompanied by varying degrees of anemia, or symptoms such as dizziness, fatigue, palpitations, tinnitus, edema, etc. caused by anemia.

The treatment of menopausal metrorrhagia should stop the bleeding quickly without inducing ovulation. Because ovarian function declines and ovulation stops during menopause, this is a natural physiological change, so there is no need to induce ovulation. The main means of stopping bleeding is curettage, which can not only assist in diagnosis, but also eliminate necrotic endometrium and blood clots in the uterine cavity, and promote uterine contraction to achieve the purpose of stopping bleeding. Some patients are cured through curettage.

Menopausal women may also suffer from heavy bleeding due to other diseases, such as incomplete abortion, advanced cervical cancer, endometrial cancer, submucous uterine fibroids, etc. Therefore, if menopausal women experience heavy vaginal bleeding, they should first undergo a gynecological examination. Through vaginal introspection and bimanual examination, uterine bleeding caused by the above diseases should be ruled out one by one. A systemic examination should also be performed, including checking the heart and lungs, liver and spleen, blood pressure, and coagulation function. Attention should be paid to the overall nutritional status, degree of anemia, and mental state. Only after organic diseases have been ruled out can menopausal hemorrhage be diagnosed.

Through the above detailed explanation of what to do when women have menopausal hemorrhage and the main symptoms of hemorrhage, women who are already in menopause will have a better understanding of the symptoms of hemorrhage. If you find any symptoms of hemorrhage, you should go to a regular hospital for examination immediately to confirm the cause of the hemorrhage so that you can better treat it.