After a menopause, abnormal bleeding should be vigilant!If there are 5 cases, you have to do a gynecological examination

The 56 -year -old Aunt Li (pseudonym) has been menopause for three or four years. Recently, her vagina bleeds and continued for two hours.At first, Aunt Li thought that she "returned to youth" and came to the aunt again. In addition, she recently talked about a period of dusk, and her body was not uncomfortable, so she didn’t care, and even a little proud.

One day, Aunt Li danced to the square as usual. When he danced and danced, his pants were red and embarrassed by Sister Wang (pseudonym).Aunt Li also shyly explained that he was embarrassed to say that he came to "the second spring".Unexpectedly, Sister Wang was wary and felt bad, pulling Aunt Li to the hospital for examination.

After a series of examinations, B -ultrasound reminds: endometrial thickening; nuclear magnetic results: uterine cavity is infiltrated by part of the tumor.The doctor’s initial diagnosis is endometrial cancer!

Aunt Li was like a thunderbolt on a sunny day, and the "second spring" that she thought she thought it turned out to be a signal from cancer!

According to a survey by the WHO, 41%of Chinese childcare women suffer from different degrees of gynecological diseases, and the prevalence of married women is as high as 70%.Every year, 200,000 to 300,000 Chinese women died of malignant gynecological diseases.

Ovarian cancer and cervical cancer are the diseases of women’s number one killer, which is mostly related to abnormal bleeding in private parts.Under such amazing numbers, can you distinguish menstruation and abnormal bleeding?

Women reached menopausal, ovarian failure, and amenorrhea has occurred one after another.After a year of corruption, the private parts bleed again, and the alarm issued by gynecological diseases may give us alarm!Be sure to attach great importance.

The more common ones are cervical diseases and endometrial problems:

1. Cervical disease

Cervical diseases may usually be caused by cervical polyps. This can be found through gynecological examinations. Generally, benign lesions can be removed, and surgery can be removed.

However, it is more serious that due to the atrophy of cervix of menopause, some gynecological examinations may not be seen.At this time, abnormal bleeding is likely to be caused by cervical cancer or cervical cancer. At this time, it should be actively screening HPV, TCT, and squamous cell carcinoma antigen.

2. Endometrial problem

The endometrial problem does not rule out endometritis, endometrial hyperplasia, endometrial polyps, etc. These can also cause a small amount of vaginal bleeding.

However, if the blood bleeding is intermittent after menopause and endless, you need to be vigilant as endometrial cancer.After women’s menopause, the endometrium loses the support of estrogen and usually becomes thinner and shrinks. If the endometrium after menopause is found in the examination, the endometrium is still exceeded 5mm. It may be the signal of the endometrium.Diagnostic house under the mirror.

3. Other diseases

In addition, if the patient’s estrogen level continues to be low, the vaginal membrane atrophy may be thinner, and a small amount of vaginal bleeding may occur; if the patient wearing the birth ring worn when the patient is young, the uterine atrophy of the uterus is inlaid.Can cause vaginal bleeding.

4. The amount of bleeding is an important signal

When the girl’s private parts are abnormal bleeding, they can first distinguish whether the bleeding volume is large.If the amount of abnormal bleeding is more than the amount of bleeding during the general menstrual period, you must go to the hospital in time to check the cause.

In addition to the high risk coefficient of abnormal bleeding after menopause, abnormal bleeding in other times should also be paid attention to.

Normal menstruation generally lasts 3 to 7 days. Generally, the amount of bleeding is 40-80 ml per month. There are obvious periodic and regularity, instead of menstrual bleeding often without regularity. There are 5 cases of cases. We can first screen for themselves.

1. Bleeding during ovulation

This usually occurs among women in childcare. Due to the relative disorders of their endocrine, the estrogen glycol is reduced shortly after ovulation, and the endometrium cannot be maintained, and the endometrium is partially falling off.Between two menstruation, there may be a small amount of brown discharge or bleeding, so it is also called ovulation bleeding.

· Generally, the amount of bleeding is small and the duration is short. Most people have a bleeding time of about 3 days. After full rest, they can heal themselves.This situation does not need to worry too much, and occasionally ovulation bleeding does not require special treatment.

2. Premier abnormal bleeding before and after menstruation

A few days before menstruation or after the tide or after the tide, a small amount of vaginal bleeding continues.It may be related to the adverse reactions after the endometrium polyps, endometrial hyperplasia, ovulation menstrual disorders, or the internal adurator.

· The bleeding time is long or the amount of bleeding is large. It is recommended to consult a doctor.

3. Improper retreat bleeding for contraceptive pills

For about a week, some women may be accompanied by vaginal hemorrhage, and they have greater interference with menstruation. Medically, they are called retreat bleeding.

· Generally, the onset time is longer or even more, which is mostly related to the patient’s physique. At present, retreat bleeding is mostly mainly drug conditioning.

4. contact bleeding

After sexual intercourse or vaginal examination, vaginal bleeding occurs immediately. If the strength is gentle and bleeding, you need to be alert to cervical inflammation, cervical polyps, cervical cancer lesions, and endometrial cancer.

· Attention should be focused when sexual intercourse, not "too hard".

5. Systemic disease

In addition to gynecological diseases, blood diseases and abnormal liver function may also cause reduced coagulation function, which causes more vaginal bleeding.

· Pay attention to whether there are basic diseases such as malnutrition and metabolic disorders.

Women’s prevention of abnormal bleeding needs to start from various aspects, comprehensively regulate diet and work and rest habits, maintain a happy mood, and regular physical examination.If abnormal bleeding has occurred, you need to check in time to check the disease.

references

[1] Menstruation abnormal?Be careful with irregular vaginal bleeding. Dr. Lilac .2021.11.27

[2] After menopause, vaginal bleeding may be a signal of gynecological diseases!. Guangzhou University of Traditional Chinese Medicine No. 1 Affiliated Hospital .2023-04-12

[3] How to identify and deal with abnormal vaginal bleeding?It is recommended to collect gynecologists!. First maternal property .2020-07-12

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