Why do I have irregular menstruation? 7 reasons for irregular menstruation during menopause

1. First, it should be confirmed whether it is amenorrhea or pregnancy, which is possible for women from adolescence to menopause. The decline of the ovaries during menopause is not a linear decline, and it is often completely menopausal after a period of endocrine fluctuations. If you have sex during this period, it is not absolutely impossible to conceive by chance during an ovulation. Abnormal pregnancy, such as early ectopic pregnancy or early miscarriage, will cause short-term bleeding after amenorrhea. If it is not ruled out, it will be mistaken for menopausal dysfunctional uterine bleeding, which will delay the treatment of menopausal menstrual disorders, or worsen the condition due to concurrent infection.

2. Menopausal irregular menstruation is caused by reproductive tract infection, whether acute or chronic, especially tuberculous endometritis, which often causes abnormal uterine bleeding. The causes of menopausal irregular menstruation in women also include obstruction of the functional layer of the endometrium, which hinders the regeneration of the endometrium, and can cause persistent bleeding, or alternating amenorrhea and bleeding.

3. Submucosal uterine fibroids are prone to intermittent heavy bleeding, which is the cause of menopausal irregular menstruation.

4. The causes of menopausal irregular menstruation in women include functional ovarian tumors, such as theca cell tumors or granulosa cell tumors. Due to the large amount of estrogen secreted, it stimulates the proliferation of the endometrium and produces endocrine disorder uterine bleeding. If postmenopausal women develop such ovarian tumors, uterine bleeding will occur again.

5. The causes of menopausal irregular menstruation include endometrial cancer, irregular vaginal bleeding, especially long-term irregular bleeding and postmenopausal bleeding. This phenomenon of menopausal irregular menstruation in women should be taken more seriously.

6. Coagulation disorders, such as idiopathic thrombocytopenic purpura, leukemia, aplastic anemia, etc., can all manifest as uterine bleeding or excessive menstrual flow. A routine blood test, including platelet count and coagulation and bleeding time, is required to confirm the diagnosis. This is also the cause of menopausal irregular menstruation.

7. Some causes of menopausal irregular menstruation are cardiovascular diseases. Women with hypertension or heart failure are also prone to uterine bleeding. Liver patients are prone to bleeding. These need to be checked to exclude.