How is postmenopausal vaginal bleeding treated?

Patient's question:

My mother is 56 years old this year and has been menopausal for 9 years. A few days ago, she experienced vaginal bleeding again, without any abdominal pain. She went to the hospital for an ultrasound, which showed no abnormalities. The doctor finally diagnosed it as senile vaginitis.

Doctor's answer:

Postmenopausal vaginal peeling is often an abnormal manifestation, most commonly seen in endometrial cancer, followed by cervical cancer, often presenting as watery discharge. Secondary conditions such as endometritis, submucosal fibroids, endometrial polyps, cervical polyps, and various vaginal infections can also cause it. Her ultrasound results were normal, ruling out intrauterine diseases but not completely excluding cervical conditions. It is necessary to perform cervical smear tests, colposcopy, and related examinations to rule out cervical diseases.

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