My Period Was Normal Then Stopped Then I Started Bleeding Again Iz Menopause

Postmenopausal Bleeding

Postmenopausal bleeding is vaginal bleeding that occurs a twelvemonth or more subsequently your terminal menstrual catamenia. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive organization. In about 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'due south life (around historic period 51) when reproductive hormones drop and her monthly menstrual periods stop. Vaginal haemorrhage that occurs more than a year after a adult female'south last period isn't normal. The bleeding tin exist light (spotting) or heavy.

Postmenopausal bleeding is usually due to benign (noncancerous) gynecological conditions such as endometrial polyps. Simply for about x% of women, bleeding afterward menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the most common type of reproductive cancer (more common than ovarian or cervical cancers.) Talk to your healthcare provider if you feel whatsoever bleeding afterward menopause.

Who is more probable to have postmenopausal bleeding?

Anyone can have vaginal bleeding, especially during perimenopause. Perimenopause, the fourth dimension leading upward to menopause, usually occurs between ages 40 and l. It's the phase when a adult female's hormone levels and periods start to change.

How common is postmenopausal bleeding?

Postmenopausal haemorrhage occurs in well-nigh ten% of women over 55.

Symptoms and Causes

What causes postmenopausal haemorrhage?

The well-nigh mutual causes of bleeding or spotting after menopause include:

Endometrial or vaginal atrophy (lining of the uterus or vagina becomes sparse 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 likewise thick and can contain abnormal 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 neck or uterus).
Bleeding from other areas, nearby, in the float or rectum or bleeding from the skin of the vulva (outside about the vagina).

Diagnosis and Tests

How exercise you know the crusade of postmenopausal bleeding?

Identifying the crusade of the bleeding can include the following:
Exam by your provider of the vagina and cervix.
Pap smear to cheque the cervical cells.
Ultrasound, usually using a vaginal approach, which may include the utilize of saline to get in easier to come across any uterine polyps.
Biopsy of the endometrium or uterus. In this process, your healthcare provider gently slides a small-scale, straw-like tube into the uterus to collect cells to see if they are abnormal. This is washed in the office and can cause come cramping.

Management and Treatment

How is postmenopausal bleeding treated?

Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the nearly common treatments.

Medications include:

Antibiotics can treat most infections of the cervix or uterus.
Estrogen may help bleeding due to vaginal dryness. Y'all can apply estrogen directly to your vagina as a foam, band or insertable tablet. Systemic estrogen therapy may come every bit a pill or patch. When estrogen therapy is systemic, information technology means the hormone travels throughout the body.
Progestin is a constructed course of the hormone progesterone. It can care for endometrial hyperplasia past triggering the uterus to shed its lining. Yous may receive progestin equally a pill, shot, cream 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 exist causing bleeding. This tin be washed in the office for diagnosis. To remove any growths, hysteroscopy is often done in the operating room nether 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 can treat some types of endometrial hyperplasia.
Hysterectomy is a surgery to remove your uterus and cervix. You may need a hysterectomy if yous have uterine cancer. Your healthcare provider can tell you about the unlike approaches to uterus removal. Some procedures are minimally invasive, and then they use very small cuts (incisions).

Living With

When should I contact my doctor?

Contact your healthcare provider if you feel vaginal haemorrhage:

More a twelvemonth after your terminal menstrual period.
More than a yr later starting hormone replacement therapy (HRT).

A note from Cleveland Clinic

It'south normal to take irregular vaginal bleeding in the years leading up to menopause. But if you have bleeding more than a year later your terminal menstrual period, information technology'due south time to see your healthcare provider. It could be the issue of a simple infection or beneficial growths. But in rare cases, haemorrhage could exist a sign of uterine cancer.

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Source: https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding