Patient's question:
Okay, here is the translation following your instructions:Menstruation has stopped for almost a year. Recently, it suddenly appeared again, but stopped after 2~3 days. My spirits, diet, etc., are all normal. The onset time was last week, and the cause is unknown. I had an ultrasound, the results were normal; a vaginal discharge test was done, also normal, although the cleanliness is currently 1~2 degrees. I have had two ultrasounds and two vaginal discharge tests, and the results of both checks were exactly the same. Medication to stop bleeding was prescribed. Hello, what could be the cause of this? Is a hysteroscopy necessary?
Doctor's answer:
According to the situation you described, occasional vaginal bleeding one year after menopause, if thorough examination rules out irregular shedding caused by other inflammatory conditions, should be normal. Because in the early stages of menopause, there is still a certain level of estrogen in the body that affects the division of endometrial cells. However, since you haven't gone through menopause, there is no progesterone influence, so there won't be cyclic shedding. But when the endometrial cells divide to a certain extent, they will shed and lead to vaginal bleeding again. Since you have already undergone the relevant thorough examination and found no issues, I suggest you carefully observe the situation in the future and have a gynecological examination once a year. This should be a good approach.