Any menstrual bleeding should not occur if you have completed menopause i.e. gone for a year without a period. After menopause, even a little spotting is not considered normal. You should make an appointment to see your doctor as soon as possible if you are suffering from postmenopausal bleeding.
A number of health problems contribute to it and some are extremely dangerous. 12 months after your last period, Menopausal bleeding or PMB occurs, which is basically vaginal bleeding.
Causes And Treatments Of Bleeding After Menopause
Causes of PMB
No cause will be revealed in 90% of the examination or the condition that gives rise to the bleeding will not be termed as serious. It can be either stress or even physical conditions. Here are some regular physical problems that may give rise to bleeding after menopause-
When the levels of the estrogen, the circulating hormone are low, the lining of the vagina becomes inflamed, leading to this condition. The hormonal imbalance triggers temporary bleeding, which is not serious but should be dealt with immediately.
Cervical and Endometrial Polyps
Cervical or Endometrial (uterine) cancer will be the cause of PMB in around 10% of the cases. These are extremely serious conditions. Endometrial cancer is usually indicated by bleeding that occurs after menopause.
These are growths that usually develop inside the cervical canal or in the uterus on the cervix and are noncancerous. They can cause bleeding as well. These may prove to be serious if their growth is not curbed on time.
Endometrial Atrophy (Thinning of the Endometrium)
The uterus is lined with a tissue called the endometrium and diminished levels of estrogen in the body after menopause tend to cause thinning of this tissue.
This leads to unexpected bleeding. Thinning of this line is not normal and should not be considered lightly. Thinning may get severe leading to ruptures or other similar problems.
Too much estrogen and too little progesterone in the body cause the lining of the uterus to become thick in this condition and this leads to bleeding. The cause of this problem is usually obesity. Abnormal cells can often be found in women who are suffering from endometrial hyperplasia and this can lead to endometrial cancer, which is cancer of the lining of the uterus.
Other types of cancers, use of medications that cause blood thinning, infection of the cervix or uterus and hormone therapy are other reasons that can cause postmenopausal bleeding. Again, these need thorough examination and determining the cause is vital to undertake surgery or related therapy procedures.Treatments of different types are available for dealing with the same, based on their causes. Here are a few of them-
The cause of the bleeding will impact the treatment. Cervical polyps will have to be removed if they are the cause of the cancer. This procedure can be performed in the office of the specialist because it is fairly simple and they may numb the area with local anesthetic in order to prevent pain.
The polyp usually comes off easily because small forceps are used for grasping it and twisting it gently. Chemicals may be applied or cautery (heat) may be used for halting any bleeding.
Surgery is required for women who are suffering from endometrial cancer because the cervix and uterus is removed completely. This complete removal is referred to as a hysterectomy. People can find out more about treating uterus and cervix cancer and the details of hysterectomy.
Pessaries or estrogen cream can be used for treating endometrial atrophy. Hormonal medication like progesterone is usually used for dealing with endometrial hyperplasia. The thick areas of womb lining can also be removed via surgery. For stress related imbalance, these medicines may be suggested too.