What to do if you bleed again after menopause

Postmenopausal bleeding refers to abnormal vaginal bleeding in women more than one year after physiological menopause. This is a clinical symptom that cannot be ignored and is also a sign of tumors in the reproductive system of some elderly women.

Common causes:

1. Genital inflammation such as vaginitis, cervicitis, endometritis, etc.

2. Benign tumors of reproductive organs such as endometrial polyps or cervical polyps, uterine submucosal fibroids, endometrial hyperplasia, intrauterine contraceptive devices, etc. Wang Xibo, Department of Gynecology, Weifang People's Hospital

3. Malignant tumors of reproductive organs such as endometrial cancer, cervical cancer, ovarian malignant tumors, etc.

Key points of diagnosis and treatment:

Elderly women should not relax their vigilance against postmenopausal vaginal bleeding. The cause should be identified and early examination, early detection and early treatment should be achieved. If the patient is older, has been in menopause for a long time, has symptoms such as heavy bleeding and prolonged bleeding, more attention should be paid, as this may be caused by malignant lesions. For menopausal women, irregular menstruation and bleeding cannot be regarded as menopausal menstrual disorders. There is also the possibility of stubborn internal and external genital inflammation or latent malignant tumors. If recent systemic treatment is ineffective, a comprehensive and detailed examination should be carried out and appropriate treatment should be given in a timely manner.

1. Routine gynecological examination

2. Cervical cancer prevention examination

3. Hysteroscopy combined with B-ultrasound examination and segmental curettage: It is the preferred auxiliary examination method for patients with postmenopausal bleeding. Abnormal uterine bleeding caused by intrauterine lesions such as submucosal fibroids and endometrial polyps can also be treated surgically under hysteroscopy, which has good treatment effect, less trauma and fast recovery after surgery.