Postmenopausal bleeding is a symptom that requires prompt medical attention, as it may be a sign of a more serious health problem. Postmenopausal bleeding, which generally refers to any bleeding that occurs after a woman has had menopause for a year, is not normal and requires medical evaluation to determine the specific cause. There are many causes of postmenopausal vaginal bleeding, the most common of which is endometrial atrophy or hyperplasia, especially in the absence of estrogen. This can lead to abnormal growth of the endometrium and even cancer. Vaginal atrophy can also cause bleeding because the vaginal walls become thinner, dryer, and more easily injured as estrogen levels drop in postmenopausal women. In some cases, endometrial polyps or cervical polyps are also possible causes of bleeding. In addition to these physical factors, certain medications such as hormone replacement therapy can cause irregular bleeding. There are many causes of postmenopausal vaginal bleeding, the most common of which is endometrial atrophy or hyperplasia, especially in the absence of estrogen. This can lead to abnormal growth of the endometrium and even cancer. Vaginal atrophy can also cause bleeding because the vaginal walls become thinner, dryer, and more easily injured as estrogen levels drop in postmenopausal women. In some cases, endometrial polyps or cervical polyps are also possible causes of bleeding. In addition to these physical factors, certain medications such as hormone replacement therapy can cause irregular bleeding. If you experience postmenopausal bleeding, you should see a doctor promptly to find out the cause. The doctor may recommend a physical examination and imaging tests, such as ultrasound, to evaluate the condition of the endometrium. Depending on the cause, different treatment options may be required. For endometrial lesions, the doctor may recommend curettage to remove excessive proliferative tissue, or hormone therapy to balance hormone levels in the body. If cancer is diagnosed, it may require treatment with surgery, radiotherapy, or chemotherapy. In daily life, it is also important to maintain a healthy lifestyle, avoid smoking, and pay attention to nutrition and weight management, which can help reduce the risk of certain causes. See a doctor as soon as possible if you encounter any abnormal physical symptoms, and follow the doctor's advice for treatment and conditioning. |
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