Why is bleeding again after three years of menopause at the age of 53?

A 53-year-old woman who bleeds again three years after menopause may be due to low-dose estrogen stimulation, causing a small amount of endometrial shedding, or it may be caused by local cervical problems, such as cervical cancer.

After menopause, although women’s ovarian function declines, there is still a low dose of estrogen in the body to stimulate the endometrium. Therefore, due to long-term hormonal stimulation, endometrial hyperplasia and endometrial exfoliation may occur, causing a small amount of vaginal bleeding. At this time, it can often be treated as menstruation, and the bleeding time is similar to menstruation, generally about 3 to 7 days, and the amount of bleeding will be the same as menstruation, and there will also be the same feeling as menstruation. So in this case, it can be treated as menstruation, but some women still consider that it is caused by local problems in the cervix, because cervical cancer is prone to occur in the perimenopausal age, and it often causes irregular vaginal bleeding after menopause. Therefore, if bleeding occurs at this time, you must go to the hospital gynecology department for internal examination and color Doppler ultrasound to confirm the specific cause of bleeding. If cervical cancer is indeed considered, a colposcopy biopsy is also required for confirmation.

Once cervical cancer is confirmed, you will need to be hospitalized for surgery as soon as possible to remove the uterine appendages and clear the pelvic lymph nodes. You may also need radiotherapy and chemotherapy after the operation.