Menopause has passed for several years, and there is some bleeding again, what is going on?

Patient's question:

Female, 47 years old, my wife has been menopausal for two years, but she had a bit of bleeding ten days ago, for three consecutive days. How come she had some bleeding after being menopausal for several years?

Doctor's answer:

Hello: According to your description, after 3 years of menopause, the vagina suddenly developed skin breakdown. A systematic gynecological examination revealed an endometrial thickness of 8 mm. Postmenopausal endometrial thickening is recommended to undergo a diagnostic (D&C), with the sent for pathological examination to rule out abnormalities caused by endometrial inflammation and prevent unnecessary anxiety. If you are sensitive to pain, a painless D&C can be performed if necessary. After the procedure, avoid spicy, greasy, and extremely cold stimulating foods, maintain a proper diet, avoid strenuous exercise, and prevent exposure to cold.

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