1. First of all, it is necessary to confirm whether it is amenorrhea or pregnancy. It is possible for women from adolescence to menopause. The decline of the ovaries after menopause is not a straight decline. Usually, menopause is completely achieved after a period of endocrine fluctuations. During this period, if sexual intercourse occurs, ovulation occurs accidentally, and pregnancy happens. It is not absolutely impossible. Abnormal pregnancy, such as early ectopic pregnancy or early miscarriage, will cause bleeding after a short period of amenorrhea. If it is not ruled out, it will be mistaken for menopausal dysfunctional uterine bleeding, which will delay the treatment of menopausal irregular menstruation or concurrent infection and aggravate the condition. 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 if the functional layer of the endometrium is blocked, hindering the regeneration of the endometrium, and continuous bleeding or amenorrhea. 3. Submucosal uterine fibroids are prone to intermittent heavy bleeding, which is the cause of menopausal irregular menstruation. 4. The causes of irregular menstruation in menopausal women include functional ovarian tumors, such as theca cell tumors or granulosa cell tumors. Due to the large amount of estrogen secretion, it stimulates the proliferation of the endometrium and produces uterine bleeding with endocrine disorders. If postmenopausal women have such ovarian tumors, they will also experience uterine bleeding 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. Idiopathic thrombocytopenic purpura, leukemia, aplastic anemia and other coagulation disorders can manifest as uterine bleeding or menorrhagia. A routine blood test is required, including platelet count, coagulation and bleeding time. This is also the cause of menopausal irregular menstruation. 7. Another reason for menopausal irregular menstruation is cardiovascular disease. Women with high blood pressure or heart failure are also prone to uterine bleeding. Patients with liver disease are prone to bleeding. These all need to be checked. |
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