What is the reason for bleeding again after a few years of menopause?

There may be many reasons for bleeding a few years after menopause, including physiological factors, senile vaginitis, cervical lesions, endometrial and ovarian lesions, hormone replacement therapy or drug effects. If a woman bleeds after menopause, it is recommended to seek medical attention in time for timely diagnosis and treatment. During the examination, gynecological internal examination, cervical cancer smear, B-ultrasound, hysteroscopy, segmental curettage and other examination methods may be needed to clarify the cause. If there is bleeding a few years after menopause, it is recommended to pay attention and go to the hospital gynecology department as soon as possible. After clarifying the cause, actively cooperate with the doctor's treatment.

1. Physiological factors: Women may have consumed foods containing high levels of estrogen, such as royal jelly, donkey-hide gelatin, Panax notoginseng powder, etc., or eaten off-season vegetables and fruits and farmed fish and shrimp. These foods may thicken the endometrium and lead to bleeding. Another physiological possibility is that there may be a residual follicle developing in the female body, which will lead to the secretion of estrogen and progesterone, resulting in a small amount of menstruation.

2. Senile vaginitis: After menopause, ovarian function declines, estrogen levels drop, and vaginal mucosal tissue becomes thinner, resulting in a decrease in local resistance, which can easily lead to senile vaginitis. This inflammation may cause congestion and edema of the mucosal tissue, which in turn causes bleeding during sexual intercourse.

3. Cervical lesions: including cervical polyps, cervical erosion, cervical cancer and other cervical problems. Cervical polyps or cervical erosion may cause contact bleeding, while bleeding from cervical cancer may be more significant, especially during sexual intercourse or gynecological examinations.

4. Endometrial and ovarian lesions: Endometrial polyps, endometrial cancer, and ovarian tumors may all lead to postmenopausal bleeding. In particular, endometrial cancer may be associated with a history of obesity, hypertension, diabetes, and other medical conditions, and may manifest as postmenopausal bleeding and uterine enlargement.

5. Hormone replacement therapy or drug effects: Some women may use hormone replacement therapy to relieve symptoms after menopause. However, these drugs may affect hormone levels and cause bleeding. Some other drugs, such as anticoagulants or certain anticancer drugs, may also cause bleeding.

Bleeding several years after menopause may be caused by a variety of reasons, which need to be clarified through professional medical examination. After finding out the cause, actively cooperate with the doctor's treatment.