No Bleeding for 8 Months Then Stopped Then Bleeding Again in 4 Months - Is Menapause Near

Postmenopausal Bleeding

Postmenopausal bleeding is vaginal bleeding that occurs a twelvemonth or more after your last menstrual period. It tin be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In well-nigh 10% of women, haemorrhage after menopause is a sign of uterine cancer.

Overview

What is postmenopausal bleeding?

Postmenopausal bleeding is haemorrhage that occurs afterward menopause. Menopause is a stage in a woman's life (effectually age 51) when reproductive hormones driblet and her monthly menstrual periods stop. Vaginal haemorrhage that occurs more than a year after a woman's last period isn't normal. The bleeding can be light (spotting) or heavy.

Postmenopausal bleeding is usually due to benign (noncancerous) gynecological conditions such equally endometrial polyps. Just for about 10% of women, bleeding later on menopause is a sign of uterine cancer (endometrial cancer). Uterine cancer is the most common blazon of reproductive cancer (more common than ovarian or cervical cancers.) Talk to your healthcare provider if y'all experience any bleeding afterward menopause.

Who is more likely to have postmenopausal bleeding?

Anyone can have vaginal bleeding, especially during perimenopause. Perimenopause, the fourth dimension leading up to menopause, normally occurs betwixt ages twoscore and 50. It's the phase when a woman'southward hormone levels and periods start to change.

How common is postmenopausal bleeding?

Postmenopausal bleeding occurs in nigh 10% of women over 55.

Symptoms and Causes

What causes postmenopausal haemorrhage?

The most common causes of bleeding or spotting after menopause include:

Endometrial or vaginal atrophy (lining of the uterus or vagina becomes thin and dry).
Hormone replacement therapy (HRT) (estrogen and progesterone supplements that subtract some menopausal symptoms).
Uterine cancer or endometrial cancer (cancer in the lining of the uterus).
Endometrial hyperplasia (the lining of the uterus gets also thick and can incorporate aberrant cells).
Uterine polyps (growths in the uterus).

Other causes tin can include:

Cervical cancer (cancer in the cervix).
Cervicitis or endometritis (infection or inflammation in the cervix or uterus).
Bleeding from other areas, nearby, in the bladder or rectum or haemorrhage from the skin of the vulva (outside about the vagina).

Diagnosis and Tests

How do you know the cause of postmenopausal haemorrhage?

Identifying the crusade of the bleeding tin include the following:
Exam by your provider of the vagina and cervix.
Pap smear to bank check the cervical cells.
Ultrasound, normally using a vaginal arroyo, which may include the employ of saline to make it easier to run into whatever uterine polyps.
Biopsy of the endometrium or uterus. In this procedure, your healthcare provider gently slides a small, harbinger-like tube into the uterus to collect cells to come across if they are abnormal. This is done in the office and can cause come up cramping.

Direction and Treatment

How is postmenopausal bleeding treated?

Treatment for postmenopausal bleeding depends on its cause. Medication and surgery are the most common treatments.

Medications include:

Antibiotics can care for almost infections of the cervix or uterus.
Estrogen may assistance bleeding due to vaginal dryness. You lot can apply estrogen directly to your vagina every bit a foam, ring or insertable tablet. Systemic estrogen therapy may come every bit a pill or patch. When estrogen therapy is systemic, it means the hormone travels throughout the body.
Progestin is a synthetic class of the hormone progesterone. It tin can treat endometrial hyperplasia by triggering the uterus to shed its lining. Y'all may receive progestin as a pill, shot, cream or intrauterine device (IUD).

Surgeries include:

Hysteroscopy is a process to examine your cervix and uterus with a camera. Your healthcare provider inserts a hysteroscope (thin, lighted tube) into your vagina to remove polyps or other abnormal growths that may be causing haemorrhage. This can exist done in the office for diagnosis. To remove any growths, hysteroscopy is frequently done in the operating room under general anesthesia.
Dilation and curettage (D&C) is a procedure to sample the lining and contents of the uterus. Your healthcare provider may perform a D&C with a hysteroscopy. A D&C can care for some types of endometrial hyperplasia.
Hysterectomy is a surgery to remove your uterus and neck. Y'all may need a hysterectomy if you have uterine cancer. Your healthcare provider can tell yous about the dissimilar approaches to uterus removal. Some procedures are minimally invasive, so they use very small cuts (incisions).

Living With

When should I contact my doctor?

Contact your healthcare provider if y'all experience vaginal haemorrhage:

More a twelvemonth afterward your last menstrual period.
More than than a year after starting hormone replacement therapy (HRT).

A annotation from Cleveland Dispensary

It'south normal to have irregular vaginal bleeding in the years leading up to menopause. But if yous take bleeding more a twelvemonth later on your final menstrual period, it's fourth dimension to see your healthcare provider. It could be the effect of a simple infection or benign growths. But in rare cases, haemorrhage could exist a sign of uterine cancer.

More health news + info

ramirezhistiong.blogspot.com

Source: https://my.clevelandclinic.org/health/diseases/21549-postmenopausal-bleeding