Causes of bleeding in urine after menopause

Urine bleeding after menopause may be related to urinary system diseases, reproductive system diseases or systemic diseases. It is necessary to seek medical attention in time to identify the cause and receive targeted treatment. Common causes include urinary tract infection, bladder tumors, endometriosis, etc. The treatment method varies depending on the cause.

1. Urinary tract infection is one of the common causes of urinary bleeding after menopause. After menopause, women are more susceptible to bacterial infection due to the decrease in estrogen levels, thinning of the urethral mucosa, weakened resistance, and frequent urination, urgency, pain, and hematuria. For treatment, doctors usually prescribe antibiotics such as levofloxacin, cefixime, or amoxicillin, and recommend drinking plenty of water and maintaining personal hygiene.

2. Bladder tumors may also cause bleeding in urine after menopause. Tumors may damage blood vessels during growth, causing hematuria. It may be painless in the early stages, but as the disease progresses, symptoms such as dysuria and abdominal pain may occur. Treatments include surgical resection, chemotherapy, and radiotherapy. Specific surgical methods include transurethral bladder tumor resection, partial cystectomy, or total cystectomy.

3. Endometriosis is another possible cause. Endometrial tissue is located in the bladder wall and bleeds with the menstrual cycle, leading to hematuria. Symptoms may include periodic lower abdominal pain and discomfort during urination. Treatment can be hormonal therapy, such as oral contraceptives, gonadotropin-releasing hormone agonists, or surgical treatment, such as laparoscopic surgery to remove the ectopic lesions.

4. Systemic diseases such as coagulation disorders or hypertension may also cause bleeding in urine. Coagulation disorders may cause spontaneous bleeding, and hypertension may cause rupture of blood vessels in the kidneys or bladder. Treatment should be targeted at the primary disease, such as the use of anticoagulants and antihypertensive drugs, and regular monitoring of relevant indicators.

Urine bleeding after menopause should not be ignored, and the cause should be identified as soon as possible. Through detailed examinations, such as urine routine, B-ultrasound, cystoscopy, etc., the doctor can develop a personalized treatment plan. In daily life, eating a light diet, avoiding excessive fatigue, and maintaining good living habits can help prevent and relieve symptoms. Regular physical examinations and timely medical treatment are the key to maintaining health.