The First Thing To Consider Is Always The Medical History: The Significance Of Bleeding After Menopause

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Overgrowths of the uterine lining are called hyperplasias, might be the cause of abnormal postmenopausal bleeding, Some specific types are associated with a malignant potential.

One must remember that ultrasound examinations are the sophisticated interpretations of shadows and do not make an absolute diagnosis, as is the case with microscopic analysis. Now let me ask you something. Does she have a history of known uterine fibroids, is that the case? For a reason of hormone therapy, thickened endometrial lining can be seen spontaneously without significant underlying pathology in cases of hyperplasias or cancer, or because of other benign growths. First thing to consider is always the medical history. That’s interesting. Is the patient taking hormones or not? About 20 percentage of true post menopausal bleeders may have cancer of the endometrium What must one consider doing for the diagnosis of postmenopausal bleeding? Essentially, the Doctor might order a special ultrasound examination, alternatively and perhaps the presence of a polyp or fibroid. Ok, and now one of the most important parts. Thus, an abnormal ultrasound examination requires further investigation.

Bleeding after menopause or postmenopausal bleeding can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiences her last menstrual period.

spotting after period This assumes certainly that she is indeed menopausal ie. Periods are either somewhat closer together or intervals greater than her customary 28 days since The bleeding pattern most women experience as they approach menopause is one where the periods become lighter, shorter in duration, and the interval between periods changes. Cycles should be missed entirely for a couple of months.

So there’re many causes of postmenopausal bleeding, and the most common is hormone replacement therapy. Fibroids or polyps can be seen and removed, and suspicious area of tissue biopsied under direct vision. Lack of estrogen, moreover, may cause atrophy of the lining, and in this condition, the blood vessels of the uterine lining become so fragile because of estrogen lack that they spontaneously break and after that bleed. Hysteroscopy is a special test that entails the passing of a tiny telescope through the cervix allowing the actual visualization of the uterine cavity. Women who are taking hormone replacement therapy very often may develop PMB being that the uterine lining is very sensitive to estrogen, that promotes growth of the endometrium, just as it does in the normal reproductive cycle that was operative prior to menopause.

Polyps and fibroids are common benign growths that develop in the uterine cavity.

While staining or actual light bleeding, the former is most often associated with irregular light spotting. So, polyps or fibroids protruding into the uterine cavity can removed with the hysteroscope, and the lining may after that, be sealed with electrical energy to minimize any further PMB. For example, as a matter of fact might be associated with much heavier bleeding, the latter may also present this way. Certain hyperplasias may require extra progesteronelike supplementation to reverse this process. Therefore this of course depends on the cause of the bleeding. Generally, hormone related postmenopausal bleeding is usually controlled by manipulation and alteration of the hormone regimen. What about treatment options, is that the case?