Post Date November, 17 2024
A woman's life is divided into seven stages, each with different physiological characteristics. Especially in the postmenopausal period, health care is particularly important. Many postmenopausal women find irregular bleeding in the vagina, so is postmenopausal bleeding necessarily cancer?
What exactly causes postmenopausal bleeding?
At the age of approximately 50 to 55, menstruation does not exceed one year, even in the late stages of menopause. The most common areas of postmenopausal vaginal bleeding are the external genitalia, vagina, and uterus. The most common and complex type of bleeding is uterine bleeding. Common benign diseases include senile vaginitis, endometritis, cervical polyps, endometrial polyps, uterine stroke syndrome, and long-term failure to remove intrauterine devices after amenorrhea. Common malignant diseases include endometrial cancer, cervical cancer, ovarian cancer, fallopian tube cancer, etc. Among them, endometrial cancer accounts for about 80% of postmenopausal bleeding. Timely identification of the causes of postmenopausal vaginal bleeding is the key to correctly managing this type of disease. Vaginal bleeding is not an isolated symptom, but rather an external manifestation of various diseases. Understanding diseases through symptoms and external manifestations can be achieved in many diseases.
What disease may postmenopausal bleeding be
1. After menopause, benign diseases such as vaginal bleeding generally have mild systemic symptoms, mild bleeding, minimal malignant constitution, and no obvious abnormalities in vaginal discharge. Unless accompanied by bacterial infection, there is no abnormal odor.
2. Senile vaginitis has a low amount of bleeding, often with small drops of blood, accompanied by itching and burning sensation of the external genitalia, or discomfort with bloating of the lower abdomen. Sometimes trichomonas and mold can be detected, but the size, shape, and texture of the uterus are normal.
3. Endometritis has regular vaginal bleeding, with about half of the patients feeling pain or bloating in the lower abdomen, increased vaginal discharge, and acute cases accompanied by fever. There are no obvious abnormalities in gynecological examinations, and antibiotic treatment has a significant effect.
4. Cervical polyps are also one of the common causes of bleeding. This disease often occurs during sexual activity. Gynecological and ultrasound examinations can detect cervical polyps, which are different from malignant tumors. If suspicious, a biopsy can be performed. Uterine stroke syndrome, with obstructed bleeding resembling menstrual flow and slightly larger bleeding volume, such as concurrent infection, low fever, and increased white blood cells. This disease has symptoms of arteriosclerosis, abnormal cardiac function, cough, difficulty breathing, palpitations, heart enlargement, lower limb edema, liver enlargement, and a series of heart failure symptoms
