Patient's question:
My mother has been in menopause for twenty years so far. The day before yesterday, she noticed blood streaks when she urinated. A month ago, she experienced lower abdominal pain and lower back pain. After taking Abakalant many times, the pain stopped. She went to the hospital for a check-up and ultrasound, and the doctor said everything was normal. It was described as senile uterine atrophy. I am very worried because many people say that it's not good to have menstrual bleeding again after menopause. Can endometrial cancer be detected by ultrasound?Doctor's answer:
In this case, with abnormal vaginal bleeding in postmenopausal women, as you mentioned, the recurrence of bleeding after menopause indeed indicates a very poor prognosis. Therefore, further careful examination and diagnosis are necessary. MRI can only provide a preliminary judgment of relatively severe endometrial inflammation. For a comprehensive and thorough examination, further procedures such as a vaginal speculum examination to inspect the cervix, or hysteroscopy or targeted curettage to examine the endometrium—these are the two areas most prone to recurrent peeling symptoms—should be performed.