Patient's question:
Disease:Menstrual bleeding for 3 years after menopause, uterine fibroids, multiple cervical nabothian cysts
Doctor's answer:
Postmenopausal vaginal bleeding for 3 years, uterine fibroids, multiple cervical nabothian cysts. Based on your description and ultrasound results, the patient has postmenopausal vaginal bleeding, and the following issues should be considered: endometrial lesions, cervical lesions, vaginal inflammatory diseases (usually bloody discharge, small amount), multiple small uterine fibroids, and multiple cervical nabothian cysts. Regular follow-up can be considered, but postmenopausal bleeding should be taken seriously. Cervical TCT is essential, primarily to rule out cervical lesions. Based on your information, it is recommended to perform cervical TCT and diagnostic curettage to rule out cervical lesions and endometrial issues. Further tests may be necessary if needed.