Postmenopausal uterine bleeding Is the unexpected, menstrual-like bleeding that begins 6 or more months after menopause.
Causes of Uterine Bleeding, Postmenopausal
Postmenopausal uterine bleeding can occur from several significantly different causes. They include cancer of the reproductive system. Irritation or infection of the membranes lining the uterus, vagina and vulva can lead to bleeding. Atrophy of the tissues of the vulva, vagina and uterine lining, associated with reduced estrogen levels, can also lead to bleeding. Injury or trauma to the vagina can produce postmenopausal bleeding. Polyps or benign tumors of the cervix, polyps on the inner uterine lining, myomas of fibroids can all bleed after menopause. Hormone therapy that stimulates the endometrium (uterine lining), causing sloughing similar to normal menstruation produce intermittent menstrual bleeding. When estrogens (female hormones) are taken irregularly they can produce menstrual bleeding. Other general conditions that can lead to vaginal bleeding in postmenopausal women include disorders of the blood cells, lymphatic system or bone marrow, high blood pressure, congestive heart failure, liver disorders, and the use of anticoagulant or aspirin-containing drugs.
Signs and Symptoms of Uterine Bleeding, Postmenopausal
Symptoms include vaginal bleeding, which may be a light-brown discharge or heavy, red bleeding. There may be clots or mucus present with the blood. The bleeding episodes may vary in length and at times there is pelvic or lower abdominal pain associated with the bleeding.
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Medical Content Last Updated on 07/12/2008
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