Postmenopausal bleeding with abnormal vaginal discharge

Postmenopausal bleeding with abnormal vaginal discharge may be caused by a variety of reasons, including changes in hormone levels, infection, endometrial lesions or malignant tumors, etc. It is recommended to seek medical attention in time, make a clear diagnosis through gynecological examination, ultrasound, hysteroscopy, etc., and take targeted treatment according to the cause.

1. Changes in hormone levels

After menopause, the decrease in estrogen levels in women may cause the endometrium to thin or shrink, which in turn causes irregular bleeding. At the same time, hormone fluctuations may also cause abnormal vaginal discharge. In this case, the doctor may recommend low-dose estrogen replacement therapy to help relieve symptoms and improve the health of the vaginal mucosa.

2. Infection

Infectious diseases such as vaginitis and cervicitis are common causes of postmenopausal bleeding and abnormal vaginal discharge. Bacterial, fungal or parasitic infections may cause increased vaginal discharge, odor or color changes, and bleeding. In treatment, doctors will prescribe antibiotics, antifungal drugs or antiparasitic drugs, such as metronidazole, fluconazole, etc., depending on the type of infection.

3. Endometrial lesions

Endometrial hyperplasia, polyps, or cancer may also cause postmenopausal bleeding. Abnormal vaginal discharge may be one of the accompanying symptoms. Ultrasound or hysteroscopy can confirm the diagnosis. Treatment includes medication (such as progesterone), surgical removal of polyps or diseased tissue, and in severe cases, hysterectomy may be required.

4. Malignant tumors

Malignant tumors such as cervical cancer and endometrial cancer have a high incidence in postmenopausal women, often manifested as irregular bleeding and abnormal vaginal discharge. Early diagnosis is crucial, and treatments include surgical resection, radiotherapy, and chemotherapy. Regular cervical cancer screening (such as TCT and HPV testing) can help detect lesions early.

Postmenopausal bleeding with abnormal vaginal discharge should not be ignored, as it may be a sign of a variety of diseases. Timely medical attention and a comprehensive examination are the key to solving the problem. Targeted treatment based on the cause can effectively relieve symptoms and prevent worsening of the disease. At the same time, maintaining good living habits, such as a balanced diet, moderate exercise, and avoiding excessive fatigue, can help improve the body's immunity and reduce the risk of disease.