Spotting or mild bleeding after menopause may not seem to be a significant concern, but you should never ignore it or put it off seeing your doctor. When a woman’s periods have ceased, vaginal bleeding might indicate a health problem, such as endometrial (uterine) cancer. These are some things every postmenopausal woman should be aware of.
Bleeding after menopause is never natural.
Vaginal bleeding after menopause, whether minor spotting or a larger flow, might indicate possible health risks.
“It should always be discusse with your practitioner,” said Gina Mantia-Smaldone, MD, a Fox Chase Cancer Center gynecologic oncologist. And the sooner you do it, the better. Rather than waiting for your next scheduled exam, contact your gynaecologist right away to arrange an assessment.
There are various possible reasons, some of which are more dangerous than others.
Postmenopausal bleeding is usually caused by endometrial shrinkage, vaginal atrophy, fibroids, or polyps. Endometrial carcinoma, a uterine lining malignancy, may cause bleeding in rare cases. The National Cancer Institute found endometrial cancer in 9% of postmenopausal women who sought medical attention for bleeding in 2018.
“However, if it is cancer, we want the opportunity to act early because treating it sooner leads to better outcomes,” Mantia-Smaldone said.
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Your age influences your risk.
Women are more likely to develop menopausal bleeding in the first year than afterwards, according to research. Arimidex 1mg tablet is used to treat breast cancer in women who have gone through menopause. Arimidex works by reducing the amount of a hormone called estrogen that your body makes. It works by blocking a natural substance (an enzyme) in your body called ‘aromatase’.
Endometrial cancer often strikes women in their mid-60s, therefore postmenopausal women should be aware of bleeding.
The diagnostic procedure may include many phases.
Your doctor will first rule out cancer in postmenopausal bleeding.
“We’ll typically undertake a physical exam to look for bleeding or lumps, such as fibroids,” Mantia-Smaldone said.
Endometrial cancer may cause the uterine lining to thicken. If your uterine lining seems thicker than usual, your doctor will consider a biopsy, which involves removing a sample of your uterine lining and examining it under a microscope.
It could be worthwhile to consult an expert.
Your gynaecologist should be able to undertake the first assessment. But, if he or she feels that your bleeding is cause by malignancy, you should consult a gynecologic oncologist. Mantia-Smaldone explained.
Endometrial cancer is often treat surgically, with a hysterectomy followed by radiation and/or chemotherapy. Gynecologic oncologists have greater expertise operating on malignancies, appropriately staging them, and selecting the best course of treatment since they deal with female reproductive cancers every day. This may lead to a more favourable treatment result.
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