Can Your Menstrual Cycle Start Again After Menopause

Postmenopausal Haemorrhage

Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your final menstrual period. It tin be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about x% of women, bleeding afterward menopause is a sign of uterine cancer.

Overview

What is postmenopausal bleeding?

Postmenopausal bleeding is bleeding that occurs after menopause. Menopause is a stage in a woman's life (around historic period 51) when reproductive hormones drop and her monthly menstrual periods stop. Vaginal bleeding that occurs more than a year after a woman's terminal period isn't normal. The bleeding tin exist lite (spotting) or heavy.

Postmenopausal bleeding is usually due to benign (noncancerous) gynecological conditions such as endometrial polyps. Only for about 10% of women, bleeding afterwards menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the almost mutual type of reproductive cancer (more common than ovarian or cervical cancers.) Talk to your healthcare provider if you lot experience whatever bleeding after menopause.

Who is more than probable to have postmenopausal bleeding?

Anyone can accept vaginal bleeding, peculiarly during perimenopause. Perimenopause, the time leading up to menopause, ordinarily occurs between ages forty and 50. It's the phase when a woman's hormone levels and periods beginning to change.

How common is postmenopausal bleeding?

Postmenopausal bleeding occurs in about 10% of women over 55.

Symptoms and Causes

What causes postmenopausal haemorrhage?

The most common causes of bleeding or spotting after menopause include:

Endometrial or vaginal atrophy (lining of the uterus or vagina becomes thin and dry).
Hormone replacement therapy (HRT) (estrogen and progesterone supplements that subtract 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 contain abnormal cells).
Uterine polyps (growths in the uterus).

Other causes tin 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 bladder or rectum or bleeding from the skin of the vulva (outside near the vagina).

Diagnosis and Tests

How exercise you know the crusade of postmenopausal haemorrhage?

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, normally using a vaginal approach, which may include the use of saline to make information technology easier to see any uterine polyps.
Biopsy of the endometrium or uterus. In this process, your healthcare provider gently slides a small, straw-like tube into the uterus to collect cells to see if they are abnormal. This is done in the part and tin can crusade come cramping.

Management and Treatment

How is postmenopausal bleeding treated?

Treatment for postmenopausal bleeding depends on its crusade. Medication and surgery are the most common treatments.

Medications include:

Antibiotics tin can care for most infections of the cervix or uterus.
Estrogen may assist bleeding due to vaginal dryness. You lot tin can employ estrogen directly to your vagina as a cream, ring or insertable tablet. Systemic estrogen therapy may come as a pill or patch. When estrogen therapy is systemic, information technology means the hormone travels throughout the body.
Progestin is a synthetic grade of the hormone progesterone. Information technology can treat endometrial hyperplasia by 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 aberrant growths that may be causing bleeding. This can be washed in the office for diagnosis. To remove any growths, hysteroscopy is often washed in the operating room under general anesthesia.
Dilation and curettage (D&C) is a process 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 you have uterine cancer. Your healthcare provider tin tell you about the unlike approaches to uterus removal. Some procedures are minimally invasive, and so they use very pocket-sized cuts (incisions).

Living With

When should I contact my doctor?

Contact your healthcare provider if you experience vaginal bleeding:

More than a year later your last menstrual period.
More than a year after starting hormone replacement therapy (HRT).

A note from Cleveland Clinic

It'south normal to have irregular vaginal bleeding in the years leading up to menopause. Just if you have bleeding more a year after your last menstrual period, information technology'southward time to encounter your healthcare provider. Information technology could be the issue of a unproblematic infection or benign growths. Just in rare cases, bleeding could be a sign of uterine cancer.

More wellness news + info

haradasomeand.blogspot.com

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