How should vaginal bleeding be treated?

Patient's question:

Almost a year after menopause, on November 4th, I experienced vaginal bleeding (with a recurrence of lower abdominal pain, increased vaginal discharge, and nipple pain). The symptoms disappeared after the skin peeled off, and the bleeding stopped after 4 days. I visited the hospital for a transvaginal ultrasound, cervical screening, and blood tests. The cervical examination was normal, but my white blood cells and neutrophils were decreased. I took antibiotics.
On November 23rd, the symptoms of increased vaginal discharge, lower abdominal pain, and nipple pain recurred. I took antibiotics to relieve them, and the vaginal discharge disappeared after about a week, followed by a peeling sensation. I need to know what tests to undergo. Do I need to be hospitalized for a hysteroscopy? Thank you.

Doctor's answer:

According to the description and report, the situation is abnormal liver function caused by toxic fatty liver. It is recommended to pay attention to rest, avoid overtime work, maintain a light diet, follow a low-fat and low-salt diet, avoid alcohol consumption, engage in regular physical activity, and undergo follow-up tests at irregular intervals. In addition to symptomatic treatment for liver disease, the patient needs to pay attention to dietary aspects, such as maintaining a light diet and avoiding spicy foods. At the same time, the patient should also pay attention to choosing a diagnosis at a Class-A hospital, so as to obtain good treatment effects.

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