Menopause is the absence of menstruation in a woman for 1 year with an average age of about 51. In particular, bleeding after menopause is one of the unusual signs for a woman’s health. Vaginal bleeding in the postmenopausal period may signal benign endometrial hyperplasia, which is more dangerous than endometrial cancer. Let’s find out the causes of bleeding after menopause in this article!
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What is postmenopausal blood?
Menopause is the period in which a woman permanently stops menstruating, with the definitive sign of amenorrhea occurring within 12 months of the last menstrual period. The mean age of menopause was 51 years and the cut-off was between 45 and 55 years.
During this period of menopause and post-menopause, a woman’s body undergoes changes in both exocrine and endocrine dysfunction. Specifically, for the decline in exocrine function, the woman will have atrophy of the follicle leading to a decrease in ovarian follicle reserve. As for the endocrine function, the lack of estrogen during this period will lead to the symptoms of menopause.
The consequences of menopause are complex, including vasomotor disorders, mood disorders, urogenital atrophy, skin atrophy, osteoporosis, cardiovascular problems, and body metabolism disorders.
Among the above disorders, bleeding after menopause is a dangerous sign that any woman should pay attention to and not ignore.
A sign of this condition is abnormal vaginal bleeding during post-menopause that a woman may think of as cases such as returning after menopause, menopause, but then again. or some patients get their period again 2 years after menopause. But all of the above are defined as postmenopausal bleeding and this is a postmenopausal disease that a woman should be diagnosed with and treated properly.
Causes of bleeding after menopause
Some causes of bleeding after menopause include:
Uterine polyps
These are tumors located in the uterus, cervix, and uterine tubes but are not gynecological cancers. Uterine polyps are benign but also very dangerous, requiring surgical removal to prevent bleeding in a postmenopausal woman.
Endometrial atrophy or endometrial thinning
The cause of this phenomenon is the decrease in estrogen levels, so the tissue lining the inside of the uterus becomes thinner and leads to vaginal bleeding. This condition is usually treated with medication and hormone pills.
Endometrial wall thickening
Menopausal symptoms such as hot flashes, hair loss, and vaginal dryness after treatment can lead to thickening of the endometrium or endometrial hyperplasia, and postmenopausal bleeding and it can be treated with hormone-regulating drugs.
Gynecological cancer
Gynecological cancer here is endometrial cancer along with malignant growth of cells in the lining of the uterus, this is also the cause of vaginal bleeding in the post-menopausal period.
Diagnosing bleeding after menopause
Bleeding after menopause is diagnosed based on bleeding symptoms, personal and family history, and a number of paraclinical techniques such as:
Endometrial biopsy uses a thin tube to remove a small amount of tissue from the lining of the uterus for examination.
Transvaginal ultrasound to see the organs in the pelvis.
Ultrasound injects water into the uterus through the catheter to get an image of the uterus.
Hysteroscopy with a laparoscope inserted into the vagina and cervix can see the inside of the uterus.
Dilation and curettage of the uterus to remove tissue from the cervical lining and have it examined.
Treatment of bleeding after menopause
In order to treat postmenopausal bleeding, the cause of vaginal bleeding needs to be diagnosed. As noted above, if the cause is polyps causing blood after menopause, then surgical removal of these masses can be performed. If it is due to endometrial atrophy, it will be treated with the use of drugs. Endometrial hyperplasia will be prescribed by doctors to apply progestin therapy to make the endometrium shed and remove these plaques by laparoscopic or dilation and curettage.
Importantly, women who have been diagnosed with endometrial hyperplasia are at a very high risk of developing endometrial cancer, a malignant form of gynecological cancer. This case should be screened for cancer with periodic endometrial biopsies, to detect or be sure that endometrial proliferation has stabilized and has not recurred.
If a woman has been diagnosed with endometrial cancer, the most common treatment now is a hysterectomy and a curettage of nearby lymph nodes.
Final thought
Bleeding after menopause is a rather dangerous phenomenon that many women experience during menopause. Therefore, when there are any signs of abnormal vaginal bleeding, it is necessary to go to a medical facility for early diagnosis as well as treatment and timely intervention, in order to avoid excessive blood loss and affect the functioning of the sex organs.
Top News hopes this article can help you learn more about what causes bleeding after menopause and wishes your health is always good!
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