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