A single drop of blood after attaining Menopause – An Sign of cancer?

Most women get their menopause between the ages of the mid or late 40s to early 60s, the average age of menopause being about 51. This is an important phase in a women’s gynaecological history that marks the end of her reproductive cycle. One major change that occurs is the altered female hormone levels, which causes a lot of physiological changes. From mood swings, hot flashes to vaginal dryness the increased inclination to osteoporosis and uterine cancer is also the condition common with menopause.

If you have failed to have the menstrual cycles for about 12 months, chances are that you are drifting into menopause, which means there is no vaginal bleeding at all anymore whatsoever. However, if you experience bleeding, that also includes spotting, then it is not normal and needs examination, and if needed, diagnosed and treated.

Postmenopausal bleeding also is known as PMB as occurs due to a variety of reasons. While it could be something as petty as inflammation of the lining of the uterus or vaginal lining, it could also represent something much more severe issue like cancer.

  • Atrophic vaginitis – Declining levels of hormones can lead to increased dryness in the vagina and thus causes the inflammation of the vaginal and uterine tissue. This can also be the common cause of bleeding after menopause.

  • Endometrial atrophy – this condition also arises due to the lowering of hormonal levels, the lining of the body of the uterus gradually thins down and can get inflamed.

  • Polyps –polyps refers to the Noncancerous growths in the uterus, vagina, cervix, or vulva, can also cause bleeding

  • Infections – General infection occurring in any area in the uterine tract can also result in occasional bleeding

  • Cancers – very few cases of PMB cases lead to cancers, however, the diagnosis improves with when done early with right medical intervention.

  • Diagnosis: As mentioned above, consult your doctor if you see any postmenopausal bleeding. Diagnostic methods must include the following:

    – Physical examination
    – Transvaginal ultrasound
    – Endometrial biopsy
    – Hysteroscopy
    – Dilatation and Curettage

    Treatment: The treatment depends upon on the diagnosis.
    For minor cases such as altered hormone levels, usually, no treatment is needed other than a change in hormone replacement therapy.
    – In the case of endometrial atrophy and atrophic vaginitis, using the estrogen creams and pessaries is generally the recommended treatment.
    – Polyps need their removal, which is followed by cauterization ( heat application) for stopping the bleeding.
    – Cancer treatment depends on the location and type and needs a blend of chemotherapy and surgery.

    therefore, if you are experiencing bleeding of any type after a year of menopause, never take it lightly.

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