blog-articals

Postmenopausal Bleeding

                  

Menopause is the end of menstruation. Menopause occurs when a woman has not had her menstrual period for a year. When a woman has gone through menopause, she normally does not expect to have any further bleeding. Postmenopausal bleeding occurs in a woman’s vagina after she has undergone menopause. Vaginal bleeding after menopause isn't normal.

Causes

  • Uterine polyps
  • Endometrial hyperplasia
  • Endometrium atrophy
  • Cervical cancer
  • Endometrial cancer
  • STD

Symptoms

  • Vaginal dryness
  • Decreased libido
  • Insomnia
  • Stress
  • Increased urinary tract infections
  • Weight gain

Diagnosis

  • Ultrasound
  • Biopsy of Endometrium: - A sample of tissue lining taken from the uterus. This tissue can then be tested for the presence of abnormal cells, such as cancerous cells.
  • Hysteroscopy: - Examine the inside of the uterus and its lining. 
  • A dilation and curette (D&C)

Treatment

  • Estrogen Therapy: - Used to treat vaginal and endometrial atrophy
  • Vaginal ring: It releases a steady dose of estrogen for about 3 months.
  • Vaginal tablet
  •  Progestin therapy:  Used to treat endometrial hyperplasia. 
  • Polyp removal
  • Hormonal Treatment
  • Radiation and Chemotherapy

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