Postmenopausal cervical bleeding

Postmenopausal cervical bleeding may be caused by a variety of reasons, including cervicitis, cervical polyps, local injuries, and even malignant lesions. You should seek medical attention for detailed examinations in a timely manner to identify the cause and take targeted treatment. Common treatments include medication, local surgery, and adjustments to sexual life and daily lifestyle.

1. Cervicitis or infection problems

Due to the decline in estrogen levels in postmenopausal women, vaginal and cervical secretions decrease, resulting in weakened local barrier function, making them more susceptible to infection, which may cause cervicitis or local erosion, and slight bleeding. Treatment usually includes the use of antibiotics or antibacterial drugs such as metronidazole suppositories and levofloxacin tablets, while strengthening local cleaning and avoiding the use of irritating cleaning products. Under the guidance of a doctor, local estrogen medications such as vaginal estrogen cream can be used to increase local defense capabilities.

2. Cervical polyps or hyperplastic lesions

Cervical polyps are one of the common pathological changes in postmenopausal women. Small polyps may bleed due to friction or infection, which can usually be removed through a simple outpatient surgery. If polyps recur or are accompanied by other abnormalities, pathological examination is required to rule out the possibility of precancerous lesions.

3. Local mechanical injury

After menopause, the vaginal wall becomes thinner and more fragile. Sexual intercourse or gynecological examinations may cause minor injuries, leading to cervical bleeding spots. This type of bleeding can be restored by reducing stimulation and applying disinfectants. It is recommended to use lubricants under the guidance of a doctor to improve the quality of sexual life and reduce the risk of local injuries.

4. Possibility of malignant lesions

Although the probability is low, postmenopausal cervical bleeding spots may also be an early sign of cervical cancer. In particular, persistent or large-area bleeding spots should rule out the possibility of cervical malignancy. Doctors usually recommend cervical cytology (TCT), human papillomavirus (HPV) screening, and further cervical biopsy if necessary.

Cervical bleeding after menopause should not be ignored. It is recommended to see a doctor as soon as possible and be evaluated by a professional doctor. After the cause is determined through examination, targeted treatment can not only solve the problem, but also avoid potential health risks.