What Are the Possible Causes of Postmenopausal Bleeding?

Answer 1

I think I’m still in menopause and lightly bleeding brown blood.

Comments

Better be careful. Irregular bleeding during or after menopause may be the sign of carcinoma. Please consider going to the doctor for an inspection. You may also need a blood test in case your red blood cell is dropping while you are bleeding.

Answer 2

I have been checked for cervical cancer test came back negative. Had been checked for any sexual transmitted diseases. Test came back negative.  And I still having bleeding problems after I have been through my menopause 12 years ago. This has been happening off an on for some times.

Comments

As you said, this situation can not be ruled out for cervical diseases or uterine diseases, in order to determine the cause, we should go to the regular hospital gynecology department to do uterine appendages B ultrasound, colposcopy and cervical scraping and other systematic examinations, in order to determine the causes of bleeding, help early diagnosis and treatment, so as to avoid misdiagnosis and mistreatment, and pay attention to local hygiene of vulva to change underwear frequently. Besides, is your blood pressure and blood sugar normal? Have you assessed the amount of bleeding each time? Have you recorded the duration of bleeding? Have you noticed the physical changes before and after each bleeding? It is suggested that you do a B-mode ultrasound first to see if there is any problem with the endometrium. And do a gynecological examination to see if there is any problem with the cervix. See if it's cervical bleeding or uterine blood.

Answer 3

After 1 year no bleeding then out of the blue pain and bleeding

Comments

Hello, if the amount of vaginal bleeding after many years of menopause is very small, it will be clean in 2 to 3 days, mostly due to bleeding or atrophic vaginitis caused by endometrial exfoliation after menopause. This is a normal physiological phenomenon, don't worry too much. Endometrial cancer should be considered if the amount of bleeding is large, the bleeding is persistent unclean or repeated vaginal bleeding. Should go to the gynecology and obstetrics department in time, check the uterine appendix B ultrasound, tumor markers and so on. The most accurate examination for the diagnosis of endometrial cancer is "segmental diagnosis and curettage". That is to say, endometrial tissue is taken for pathological examination. If the pathological examination is endometrial cancer, early surgical treatment should be carried out.

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Thank you Garry, I have had all the above test done and everything was fine, still I’m light bleeding/ spotting every few months.  How do I know it’s not ovarian related and would the above test you mentioned cover that?

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How old are you? If you are peri-menopausal, no need to worry. If you are in your 20s or 30s, you should check with your gynecologist. Functional uterine bleeding, referred to as dysfunctional uterine bleeding, is a non-organic lesion of abnormal uterine bleeding caused by abnormal neuroendocrine disorders caused by abnormal regulation of the hypothalamic-pituitary-ovarian (H-P-O) axis. Gongxue is a common gynecological disease, accounting for about 10% of gynecological outpatients. Clinically, the disease is divided into two types, namely, anovulatory dysfunctional uterine bleeding and ovulatory dysfunctional uterine bleeding. The former, often occurs in adolescent and menopausal transitional women. Adolescent functional uterine bleeding is due to delayed development of the neuroendocrine center or delayed maturity. The dysfunctional uterine bleeding in postmenopausal women is mainly due to the hypofunction of the hypothalamic-pituitary-ovarian axis, which is caused by the continuous decline of ovarian function.

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Megan I’m 48 and blood test has shown I’m post menopausal. Have been for at least 3 years. My dr did say the bleeding might be due to my ovaries shutting down but this seems to be happening more often and honestly I feel like I have the same symptoms as when I’m having my period, bloating, cramping, lite bleeding/spotting 5 days then goes away.  Ultrasound showed thickening of lining, ive had 3 Leeps in previous years due to HPV , biopsy’s have always come back negative. I’m just worried my gynecologist is missing something beyond his reach. So what test do they use to check for ovarian cancer?  Thank you for your feedback

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You can screen ovarian cancer by testing markers including CA125, HCG, H4, AFP in your blood. Usually these markers will become higher with ovarian cancer. But high markers don't necessarily mean ovarian cancer. The diagnosis is based on clinical characteristics，lab and imaging features as well as pathological examination. In your case I think the possibility of ovarian cancer is low and your symptoms are due to menopausal transition.

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Ultrasound and abdomen CT scan could find ovary cancer. You should see your gynecologist regularly.

Answer 4

I went though menopause 15 years ago. I started bleeding very lightly 2 days ago. What should I do?

Comments

Please make an appointment with a gynecologist at your earliest convenience. Any bleeding post menopause is worth attention.

Answer 5

I am 62 years old and began menopause at 40. I had 3 weeks of mild bleeding with no precipitating factors such as sex. I have been in the same relationship 35 years. My NP has taken some blood samples, done a pelvic exam (she said I was still bleeding some.) I am waiting for the hospital to schedule an ultrasound. Will that be inside the vaginal wall? I am a victim of abuse and want no surprises. Should I be worrying about this problem?

Comments

Gynecological ultrasound is not done in the vaginal wall. The doctor will scan your lower abdomen with an instrument.

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Hi, H.S.S., let me make it clear for you. There are 2 ways to scan your uterus and ovaries with ultrasound.

1. The first approach is through the lower abdominal wall, like common ultrasound. The advantage of this method is that you do not feel uncomfortable. More importantly, this method can be used in every patient, from children to adults. The disadvantage of this method is that in obese patients, the uterus and the ovaries are probably not seen very clearly.

2. The other ultrasound technique is called transvaginal ultrasound. That means the operator will insert an ultrasound probe into your vagina. The advantage of this method is that it can see the uterus and ovaries very clearly. However, this method can not be used in patients who have not had sex.

There is no definitive conclusion as whether you should do a conventional ultrasound or a transvaginal ultrasound. Mostly it's the patient that makes the decision.

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Yes, you should be concerned. Vaginal bleeding after menopause is a big problem. Besides ultrasound test, cervical biopsy and TCT should be concerned.