Why does urine bleed after menopause?

Urine bleeding after menopause may be related to urinary system diseases, gynecological diseases or other systemic causes, and you need to see a doctor as soon as possible for a clear diagnosis. Common causes include urinary tract infection, urinary stones, uterine and ovarian related diseases. It is recommended to choose appropriate treatment according to the specific cause.

1. Urinary system diseases

The most common cause of postmenopausal bleeding in the urine is urinary system problems, including urinary tract infection and urinary stones. Due to the decrease in estrogen levels in postmenopausal women, the urethra and bladder mucosa become thinner, which is prone to infection, manifested as urinary pain, frequent urination, and urgency. If it is a urinary stone, it may be accompanied by pain in the waist or abdomen, or even pain during defecation.

- Treatment recommendations:

a) If it is a urinary tract infection, antibiotics are usually used for treatment, such as sulfonamides and quinolones. You can choose the medicine according to the doctor's advice.

b) When urinary stones are small, their excretion can be promoted by drinking water, with a daily water intake of 2-3 liters; larger stones may require extracorporeal lithotripsy or minimally invasive surgery.

2. Gynecological related diseases

Diseases of the uterus, ovaries, and vagina may also cause bleeding in the urine. After menopause, the vaginal mucosa becomes thinner due to hormone deficiency. If accompanied by chronic inflammation or infection, it can cause hematuria. Endometrial hyperplasia, endometrial cancer, and even genital tumors may cause this symptom and also need to be checked.

-Suggestions:

a) Vaginal atrophy can be treated with local estrogen replacement therapy to relieve symptoms.

b) If a neoplastic disease is suspected, ultrasound, imaging and pathological examinations should be performed, and comprehensive treatment such as surgical resection, radiotherapy and chemotherapy can be used.

3. Other systemic diseases

Some systemic diseases may also manifest as bleeding in urine. For example, coagulation disorders include hemophilia, thrombocytopenia, etc. Certain drugs (such as anticoagulants) may also increase the risk of bleeding in urine. Diabetic patients are prone to urinary tract infections, which also require special attention.

-Solution:

a) For patients with coagulation dysfunction, symptomatic treatment such as supplementation of coagulation factors and vitamin K can be adopted;

b) Stop taking the drugs that cause side effects and consult a doctor to adjust the medication regimen;

c) Patients with diabetes need to actively control blood sugar and prevent infection.

4. Importance of regular screening

Postmenopausal women are prone to many diseases, so regular health checks are very important. If you find bleeding in your urine recently, you should go to the hospital immediately for a comprehensive urinary and gynecological examination, including urine routine, urinary system B-ultrasound, and pelvic CT/MRI, to find out the specific cause and treat it accordingly.

If you find blood in your urine after menopause, you must not ignore it. You should pay attention to early symptoms and seek medical attention in time. Scientific testing and treatment can not only help improve symptoms, but also prevent potential serious diseases from further affecting your health.