I've been in menopause for four years, and it's suddenly back. What's going on?

We understand that as women age, the changes in their bodies are more prominent, especially after reaching a certain age, they will experience menopause and then "menstruation" after menopause. To be precise, vaginal bleeding occurs 4 years after menopause, which is called postmenopausal bleeding in clinical medicine.

It is a common disease among middle-aged and elderly women. The causes of the disease are complex and the diagnosis methods vary. In the long-term disease diagnosis, vaginal bleeding is one of the common gynecological symptoms and is often the main symptom of female reproductive system cancer, which should be given sufficient attention. Especially for middle-aged and elderly people with weak physical fitness, they should be more careful about spotting during pregnancy after menopause. Next, let’s talk about the actual reasons for spotting during pregnancy after menopause.

Postmenopausal bleeding may be caused by diseases of the private parts, vagina, uterus, ovaries and bilateral fallopian tubes. Its pathogenic factors may be inflammatory, endocrine (endogenous or iatrogenic), trauma, foreign body, or even systemic exudative diseases. This disease may be benign, malignant or non-organic.

Vaginal bleeding may be due to organic disease. Such as endometritis, submucosal uterine fibroids, uterine intrauterine polyps, malignant tumors of the uterus and ovaries, cervical erosion, cysts and various vaginitis, especially vaginitis in the elderly is the most common. When vaginitis in the elderly is more serious, the secretion is pus-like, has an odor, and may also cause spotting.

If the IUD is left in place for a long time after menopause, the ovaries will shrink and the body's estrogen level will decrease, causing the uterus to shrink and the IUD to become embedded in the uterine muscle layer. Damage to the uterine wall and muscle layer can also cause vaginal bleeding. Regular consumption of bee pollen and nourishing supplements containing hormones may also cause vaginal bleeding.

Vaginal bleeding after menopause should be carefully identified. In most cases, it is not a big problem and you don't need to be too anxious, but you still have to pay attention to it. You should go to the hospital for some necessary examinations and further clinical observation.