Is haemorrhage after the woman menopause “second spring”?Before you laugh, it’s not a small problem


Fifty-three-year-old Aunt Jiang has been through menopause for more than three years. Last month, she began to have menstruation again, but she did not take it to heart because the amount was relatively small and she was busy taking care of her grandchildren.It was not until a month later that menstruation did not seem to “go” that Aunt Jiang went to the hospital for examination. The results of gynecological color ultrasound showed that endometrium was about 10 mm thick, the echo was not even, a small sac could be detected inside, the diameter was about 4.9 mm, and blood flow signals could be seen. Aunt Jiang was finally diagnosed as endometrial cancer.In this regard, doctors remind that more than 90% of menopausal endometrial cancer patients, will be the main symptom of vaginal bleeding, women should pay particular attention to.A woman after menopause and bleeding, not the “second spring” women in 45 ~55 years old, with the decline of ovarian function, menstruation will slowly stop, into menopause, which belongs to the normal physiological phenomenon.But if bleeding occurs after menopause, you should be concerned.Postmenopausal bleeding is to point to the occurrence of vaginal bleeding again after a year of natural menopause, the main performance includes a small amount of irregular vaginal bleeding, leucorrhea with blood or contact bleeding, and some patients may also appear bleeding symptoms larger than menstrual volume.About 80% of postmenopausal bleeding is due to nonorganic and benign diseases, and about 20% is due to malignant tumors.Non-organic diseases are mainly affected by internal and external hormones.After menopause, if the body estrogen accumulation, endometrium may appear hyperplasia response, or even excessive hyperplasia.When estrogen fluctuates, it can cause uterine bleeding.There are a few women in menopause without complete ovarian atrophy, it may be 1-2 years after menopause, the occurrence of a vaginal bleeding phenomenon.After menopausal hormone replacement therapy, there may also be withdrawal bleeding due to drug reactions. Mental stress leads to abnormal adrenal cortex function and increased extra-glandular estrogen secretion, which will lead to abnormal bleeding in the endometrium.Genital inflammation is the most common benign disease, such as vaginitis, cervicitis (including polyps and cervical erosion), intrauterine meningitis (including intrauterine polyps), iUD dislocation and submucosal fibroids.The malignant tumor that causes postmenopausal hemorrhage, more common is endometrial cancer and cervical cancer, in addition ovarian cancer, fallopian tube cancer, vulvar cancer, vaginal cancer and uterine leiomyosarcoma also can cause postmenopausal hemorrhage.If bleeding occurs after menopause, it is recommended to go to the hospital for examination, including vaginal discharge examination, ultrasound examination, staging curettage or hysteroscopy.Two, women ready for menopause, there are three signs in general, women in 35 years old after the ovarian secretion function will begin to decline, 45-55 years old or so into menopause.The average age of menopause in Korea is between 49 and 50 years old.Some women think, menopause time is late, the better it is maintained on behalf, more conduce to health and longevity.But early or late menopause has different effects on the body.If you go through menopause too late, such as when you’re over 55 or even in your 60s, it’s important to watch out for changes in your body.Because in the state of natural menstruation, there will be a peak of estrogen secretion after ovulation, if estrogen long-term stimulation, may cause breast and endometrial lesions.And early menopause can mean premature aging.Because after menopause, the body’s tissues and organs will begin to accelerate aging, all kinds of menopausal symptoms will come one after another, and the quality of life will subsequently show a linear decline.When women begin menopause, the body often appears the following 3 tips: 1, menstrual cycle becomes unstable some people are born weak, the body estrogen secretion is not stable, menstrual cycle will be easy to fluctuate.But if the usual menstrual cycle is relatively fixed, but the recent sudden obvious changes, such as 2-3 months did not come to menstruation, the late period and suddenly appeared a small amount of menstruation, or a month to 2-3 times of menstruation, but each menstrual study is very few, and the duration is very short.If this happens, it is mainly because after menopause, the hormone secretion in women is insufficient and fluctuates greatly, so there is no need to worry too much.2, menstrual blood color changes in normal women’s menstrual color should be bright red or dark red, no abnormal phenomenon.But if a woman is about to menopause, due to changes in body hormones, the color of menstrual blood will become lighter or darker, and there will be obvious small blood clots, menstrual volume will become very unstable, more or less.3, hot flashes when women are about to enter menopause or start menopause, they are prone to hot flashes.This is mainly because of the hormone fluctuations in the body, will cause blood vessels to dilate, causing a person’s face, neck and chest areas of the symptoms of congestion, fever and hot flashes, each lasting about 5-15 minutes.Especially in the mood of excessive fluctuations, there may be a whole body fever, sweating, and accompanied by dizziness feeling.If women find themselves with the above 3 symptoms, may be the onset of menopause, at this time should be ready for menopause, strengthen the maintenance of the body.Three, how to care for menopause?Estrogen, have to keep the normal female major organs function, into the menopause, means that the decrease of estrogen in the body, organ will gradually aging, including skin aging, wrinkles, pain, vaginal dryness, sex mental nervous system abnormalities, such as hot flashes, night sweats, touchy, osteopenia and osteoporosis,Cardiovascular and metabolic problems lead to hypertension, diabetes, stroke and other problems.Therefore, pay attention to nursing in menopause, related to the physical and mental health of middle-aged and elderly women, but also to prevent diseases play an important role.1, diet adjustment after menopause to light diet, rich in cholesterol and saturated fatty acid food to eat less or do not eat, can eat more vegetables rich in fiber, can promote gastrointestinal peristalsis.Second, cut down on salt.Because endocrine changes occur after menopause, symptoms such as hypertension and edema may occur.Postmenopausal women are advised to limit their salt intake to 3-5 grams per day.In addition, postmenopausal women should increase the amount of calcium intake.After menopause, the estrogen level in the body decreases, and the anabolism of bone tissue decreases, which can easily lead to osteoporosis. Therefore, you should eat dairy products and other calcium-rich foods.2, maintain a harmonious sexual life after menopause estrogen level will lead to reduced vaginal secretion, make the vagina becomes dry, women are easy to cause pain during sex, so many women will therefore reduce the number of sexual life, and even hate sex.But actually menopause just loses fertility function, not representative life ability loses.After menopause to maintain a harmonious sexual life, there are certain benefits for women, not only can enhance self-confidence, let the mood to maintain pleasure, but also through the intimate contact between husband and wife to obtain physiological and psychological satisfaction, promote the feelings between husband and wife.In addition, if long-term depression, may lead to anxiety, depression and other emotional problems, and sex can relieve post-menopausal tension.3. Menopausal hormone therapy after menopause with appropriate estrogen supplementation can effectively relieve menopausal symptoms, improve sexual life quality, protect nerves, promote fat metabolism, and help prevent diseases such as osteoporosis, coronary heart disease, Alzheimer’s disease and Alzheimer’s disease.However, it is necessary to consult the doctor first and follow the doctor’s advice to supplement. Do not blindly supplement by yourself.After menopause, women’s physical and psychological changes will take place.How to recuperate and take good care of your body is a required course for every menopausal woman.Eating well, exercising and being happy can help women survive menopause.After menopause, once the body appears abnormal symptoms, should go to the hospital as soon as possible gynecological examination, the need for the doctor’s help.Reference: [1] What causes vaginal bleeding after menopause?[2] “Women begin menopause, the Body often accompanied by three” Hints “.[3] “Estrogen supplementation is critical during perimenopause”, Open Science, 2021-04-22.Dahe Health News, 2018-05-25

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