Patient's question:
Female, 55 years old, menstrual cycle stopped for 4 months and has returned againDoctor's answer:
Postmenopausal bleeding may be caused by pathological reasons and must be examined. The most common causes of postmenopausal uterine bleeding are:1. Use of exogenous estrogen.
2. Vaginal atrophy and vulvovaginal injury.
3. Genital tract tumors.
For women who experience vaginal bleeding again after menopause, regardless of the amount of bleeding, the duration, or how many times it occurs, it is abnormal.
1. Tumors—Common ones include endometrial cancer, uterine sarcoma, cervical cancer, and vaginal tumors. Some functional ovarian tumors can also cause vaginal bleeding.
2. Vaginitis—Senile vaginitis, atrophic endometritis, or vaginitis caused by other reasons may also lead to minor bleeding.
3. Trauma: Postmenopausal vaginal epithelium becomes thin and atrophic, and slight friction or irritation can cause bleeding.
4. Medication—Some postmenopausal bleeding is also caused by exogenous drugs.