Does Your Period Start Again After Menopause
Postmenopausal Haemorrhage
Postmenopausal bleeding is vaginal bleeding that occurs a year or more subsequently your terminal menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In nearly 10% of women, bleeding after menopause is a sign of uterine cancer.
Overview
What is postmenopausal bleeding?
Postmenopausal bleeding is haemorrhage that occurs after menopause. Menopause is a stage in a woman's life (around age 51) when reproductive hormones drop and her monthly menstrual periods stop. Vaginal haemorrhage that occurs more than than a year afterwards a woman's last catamenia isn't normal. The bleeding tin be light (spotting) or heavy.
Postmenopausal bleeding is normally due to benign (noncancerous) gynecological weather such equally endometrial polyps. Only for nearly 10% of women, bleeding after menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the most common type of reproductive cancer (more than common than ovarian or cervical cancers.) Talk to your healthcare provider if you lot experience any bleeding after menopause.
Who is more probable to have postmenopausal bleeding?
Anyone can have vaginal bleeding, especially during perimenopause. Perimenopause, the time leading up to menopause, ordinarily occurs betwixt ages 40 and fifty. It'south the phase when a woman's hormone levels and periods start to change.
How common is postmenopausal bleeding?
Postmenopausal bleeding occurs in most ten% of women over 55.
Symptoms and Causes
What causes postmenopausal bleeding?
The near common causes of bleeding or spotting after menopause include:
- Endometrial or vaginal cloudburst (lining of the uterus or vagina becomes thin and dry out).
- Hormone replacement therapy (HRT) (estrogen and progesterone supplements that decrease some menopausal symptoms).
- Uterine cancer or endometrial cancer (cancer in the lining of the uterus).
- Endometrial hyperplasia (the lining of the uterus gets too thick and can incorporate aberrant cells).
- Uterine polyps (growths in the uterus).
Other causes can include:
- Cervical cancer (cancer in the cervix).
- Cervicitis or endometritis (infection or inflammation in the cervix or uterus).
- Bleeding from other areas, nearby, in the bladder or rectum or bleeding from the skin of the vulva (outside nigh the vagina).
Diagnosis and Tests
How do yous know the crusade of postmenopausal haemorrhage?
- Identifying the crusade of the bleeding tin include the following:
- Exam by your provider of the vagina and cervix.
- Pap smear to bank check the cervical cells.
- Ultrasound, commonly using a vaginal approach, which may include the use of saline to make it easier to run across any uterine polyps.
- Biopsy of the endometrium or uterus. In this procedure, your healthcare provider gently slides a pocket-size, harbinger-like tube into the uterus to collect cells to come across if they are abnormal. This is washed in the role and can cause come cramping.
Direction and Treatment
How is postmenopausal bleeding treated?
Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the most common treatments.
Medications include:
- Antibiotics can treat most infections of the neck or uterus.
- Estrogen may help bleeding due to vaginal dryness. You can apply estrogen directly to your vagina every bit a cream, ring or insertable tablet. Systemic estrogen therapy may come as a pill or patch. When estrogen therapy is systemic, it ways the hormone travels throughout the trunk.
- Progestin is a synthetic form of the hormone progesterone. It can treat endometrial hyperplasia by triggering the uterus to shed its lining. You may receive progestin as a pill, shot, foam or intrauterine device (IUD).
Surgeries include:
- Hysteroscopy is a procedure to examine your cervix and uterus with a camera. Your healthcare provider inserts a hysteroscope (thin, lighted tube) into your vagina to remove polyps or other abnormal growths that may be causing bleeding. This tin can be done in the office for diagnosis. To remove any growths, hysteroscopy is oft washed in the operating room under general anesthesia.
- Dilation and curettage (D&C) is a procedure to sample the lining and contents of the uterus. Your healthcare provider may perform a D&C with a hysteroscopy. A D&C tin treat some types of endometrial hyperplasia.
- Hysterectomy is a surgery to remove your uterus and cervix. You may need a hysterectomy if you take uterine cancer. Your healthcare provider tin can tell yous about the different approaches to uterus removal. Some procedures are minimally invasive, so they use very small cuts (incisions).
Living With
When should I contact my dr.?
Contact your healthcare provider if you experience vaginal bleeding:
- More than a year afterward your last menstrual period.
- More than than a year after starting hormone replacement therapy (HRT).
A note from Cleveland Clinic
It's normal to have irregular vaginal bleeding in the years leading up to menopause. But if you lot have haemorrhage more than than a yr afterwards your concluding menstrual catamenia, it's time to run into your healthcare provider. It could be the outcome of a elementary infection or beneficial growths. But in rare cases, bleeding could be a sign of uterine cancer.
Source: https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding
0 Response to "Does Your Period Start Again After Menopause"
إرسال تعليق