Menopause Started Bleeding Again No Red Meat
Postmenopausal Bleeding
Postmenopausal bleeding is vaginal haemorrhage that occurs a twelvemonth or more than later your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about 10% of women, bleeding afterward menopause is a sign of uterine cancer.
Overview
What is postmenopausal bleeding?
Postmenopausal bleeding is haemorrhage that occurs after menopause. Menopause is a stage in a woman's life (around age 51) when reproductive hormones drib and her monthly menstrual periods stop. Vaginal bleeding that occurs more than than a yr after a woman'southward last period isn't normal. The bleeding can be light (spotting) or heavy.
Postmenopausal haemorrhage is usually due to benign (noncancerous) gynecological conditions such every bit endometrial polyps. But for about 10% of women, bleeding later menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the most common blazon of reproductive cancer (more common than ovarian or cervical cancers.) Talk to your healthcare provider if you lot experience any haemorrhage after menopause.
Who is more probable to have postmenopausal bleeding?
Anyone can have vaginal haemorrhage, especially during perimenopause. Perimenopause, the time leading up to menopause, usually occurs between ages forty and 50. It's the stage when a woman's hormone levels and periods showtime to change.
How common is postmenopausal bleeding?
Postmenopausal bleeding occurs in about x% of women over 55.
Symptoms and Causes
What causes postmenopausal bleeding?
The most common causes of bleeding or spotting after menopause include:
- Endometrial or vaginal atrophy (lining of the uterus or vagina becomes sparse and dry).
- Hormone replacement therapy (HRT) (estrogen and progesterone supplements that decrease some menopausal symptoms).
- Uterine cancer or endometrial cancer (cancer in the lining of the uterus).
- Endometrial hyperplasia (the lining of the uterus gets too thick and tin comprise abnormal cells).
- Uterine polyps (growths in the uterus).
Other causes can include:
- Cervical cancer (cancer in the neck).
- Cervicitis or endometritis (infection or inflammation in the cervix or uterus).
- Haemorrhage from other areas, nearby, in the bladder or rectum or bleeding from the skin of the vulva (outside almost the vagina).
Diagnosis and Tests
How do you know the cause of postmenopausal bleeding?
- Identifying the cause of the bleeding tin can include the following:
- Exam past your provider of the vagina and cervix.
- Pap smear to check the cervical cells.
- Ultrasound, usually using a vaginal approach, which may include the employ of saline to make information technology easier to see any uterine polyps.
- Biopsy of the endometrium or uterus. In this procedure, your healthcare provider gently slides a small-scale, straw-like tube into the uterus to collect cells to see if they are aberrant. This is done in the office and can cause come cramping.
Management and Treatment
How is postmenopausal bleeding treated?
Treatment for postmenopausal haemorrhage depends on its cause. Medication and surgery are the most common treatments.
Medications include:
- Antibiotics can treat most infections of the cervix or uterus.
- Estrogen may help bleeding due to vaginal dryness. You lot can use estrogen straight to your vagina as a foam, ring or insertable tablet. Systemic estrogen therapy may come every bit a pill or patch. When estrogen therapy is systemic, it means the hormone travels throughout the torso.
- Progestin is a synthetic form of the hormone progesterone. It can treat endometrial hyperplasia past triggering the uterus to shed its lining. You may receive progestin as a pill, shot, cream or intrauterine device (IUD).
Surgeries include:
- Hysteroscopy is a procedure to examine your neck and uterus with a photographic camera. Your healthcare provider inserts a hysteroscope (sparse, lighted tube) into your vagina to remove polyps or other abnormal growths that may be causing bleeding. This tin be done in the office for diagnosis. To remove any growths, hysteroscopy is frequently done in the operating room under full general anesthesia.
- Dilation and curettage (D&C) is a procedure to sample the lining and contents of the uterus. Your healthcare provider may perform a D&C with a hysteroscopy. A D&C can care for some types of endometrial hyperplasia.
- Hysterectomy is a surgery to remove your uterus and cervix. You may need a hysterectomy if you lot have uterine cancer. Your healthcare provider can tell y'all about the different approaches to uterus removal. Some procedures are minimally invasive, and then they use very small cuts (incisions).
Living With
When should I contact my doctor?
Contact your healthcare provider if you feel vaginal haemorrhage:
- More than than a year after your last menstrual menstruation.
- More than than a year after starting hormone replacement therapy (HRT).
A note from Cleveland Clinic
It's normal to have irregular vaginal bleeding in the years leading up to menopause. Just if yous have bleeding more than a year after your last menstrual period, it's time to come across your healthcare provider. Information technology could exist the result of a simple infection or benign growths. Merely in rare cases, bleeding could be a sign of uterine cancer.
Source: https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding
0 Response to "Menopause Started Bleeding Again No Red Meat"
Post a Comment