What happens if I see spotting again after menopause?

The so-called menopause refers to the cessation of a woman's menstruation. In fact, when a woman reaches menopause, her menstruation does not suddenly stop completely. Many women have less and less menstruation, or they may have menstrual disorders, such as irregular menstrual cycles, etc. These are normal manifestations of menopause. Some women experience vaginal spotting again after menopause. The first thing to consider is whether it is due to the onset of menstruation, and you should also be alert to some gynecological diseases.

What happens if I see spotting again after menopause?

1. Gynecological diseases

Vaginal bleeding in women is mostly caused by gynecological diseases. After menopause, women's estrogen levels are very low, and their reproductive systems lose the protection of estrogen. The resistance and immunity of various parts are relatively low, making them very susceptible to bacterial invasion. Whether there is inflammation in the vagina, cervix or uterus, vaginal bleeding will occur if the capillaries are damaged or ulcerated.

2. Cervical polyps

After menopause, some women may stimulate the ovarian interstitial cells to secrete estrogen, which will have a certain stimulating effect on the endometrium and cervix of women, and may cause cervical polyps. Because the level of this hormone is very unstable, vaginal bleeding may occur due to endometrial hyperplasia or cervical hyperplasia.

3. Malignant tumors

If a woman experiences heavy bleeding after menopause, it may be due to the growth of malignant tumors in the reproductive system, especially endometrial cancer, cervical cancer, and ovarian cancer. Although the chance of this happening is not very high, it threatens women's lives.

Irregular vaginal bleeding after menopause. This is an abnormal phenomenon. I also suffer from cervicitis. You can go to the gynecology department for a check-up. Get screened for cervical cancer. Do another diagnostic curettage. Send to pathology. This way the diagnosis can be confirmed.

There are three types of postmenopausal bleeding. One is endometrial cancer. It is not absolute that the color Doppler ultrasound says that there is nothing wrong. In this case, a vaginal color Doppler ultrasound is needed. Because the endometrium exceeds four millimeters after menopause, a hysteroscopy is needed, and a diagnostic curettage and scraping are performed, and the results are sent for pathology. The second is the problem of the cervix. The cervix needs to be screened for cervical cancer. If there are any abnormalities, a colposcopy and biopsy are required. The third is senile vaginitis, if the inflammation is severe, there may be bloody leucorrhea. In short, you need to go to the hospital for a detailed examination, and you can't just rely on the color ultrasound to check if there is no problem.