Patient's question:
Previous laboratory test results: The uterus has small fibroidsDoctor's answer:
Postmenopausal bleeding may be caused by diseases such as those affecting the vulva, vagina, uterus, ovaries, and fallopian tubes. The causative factors could be inflammatory, endocrine (endogenous or iatrogenic), traumatic, foreign body-related, or even systemic bleeding disorders. These conditions can be benign, malignant, or non-organic. The following are some common conditions that can cause vaginal bleeding:1. Reproductive organ tumors. Endometrial cancer is the most common, followed by cervical cancer, often presenting as watery or bloody discharge.
2. Organic lesions. Such as endometritis, submucosal fibroids, endometrial polyps, benign ovarian tumors, cervical erosion, polyps, and various vaginal infections, with senile vaginitis being the most prevalent. In severe cases of senile vaginitis, the discharge may be purulent with an odor and accompanied by spotting.
In recent years, due to the increasing use of estrogen replacement therapy among postmenopausal women, the proportion of postmenopausal bleeding caused by iatrogenic endocrine factors has also risen. Given your age, you should undergo relevant gynecological examinations at a hospital in the near future to rule out malignant conditions such as endometrial cancer.