Are you still bleeding after Menopause? Here’s why you should not turn a blind eye to it! Read on to find out!
Menopause is achieved when there’s complete stoppage of menstruation for a year.
Very commonly, women complain of bleeding, spotting after menopause or irregular, heavy bleeding during the perimenopausal period or even menstruation continuing beyond 55 years of age.
Common causes can be:
- Dysfunctional bleeding
- Uterine polyp
- Decubitus ulcer (associated with prolapsed organs)
- Forgotten retained Intrauterine contraceptive devices
- Atrophied endometrium (the thinning of lining of uterus dueto lower levels of estrogen following menopause)
- Genital Malignancy (affecting as many as 1 out of 3 cases of post menopausal bleeding)
with endometrial cancer (uterine cancer) being the most suspected type.
High risk factors for developing endometrial cancer are
Delayed menopause, nulliparity, unopposed estrogen therapy , persistent PCOD, obesity, hypertension, family history of cancer, Tamoxifen therapy (given for breast cancer patients).
Your physician will take a detailed history to exclude any cause indicating malignancy and recommend ultrasonography.
USG showing thickness of uterine lining more than 4 mm, irregular with presence of fluid will need biopsy and curettage under anaesthesia to study the tissue specimen.
Protective factors against uterine cancer include long term use of combined oral contraceptive pills ( because they also contain progesterone with oestrogen), weight reduction, exercise.
Early detection of uterine cancer in early stages bear good prognosis with combined treatment options of surgery, radiotherapy and chemotherapy.
A well informed and alert patient with bleeding after menopause will definitely make the wiser choice to get herself checked at the earliest to exclude malignancies and receive the proper treatment.
If no cause of post menopausal bleeding is detected, but bleeding recurs it is wiser to have the uterus removed along with the tubes and ovaries
because we all know, ” A stitch in time saves nine “.
I am Dr. Ariti Sen, making a mission to make woman aware of their health issues. If you have questions leave a comment below. I will be happy to get back to you.
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Be Well Informed, Be happy!