There can be several causes of postmenopausal bleeding. The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels cervical or womb polyps – growths that are usually non-cancerous
It is one of the problems of women after menopause. Any bleeding in a woman during menopause is significant and you should see your doctor if this happens. This is because 10 percent of women with postmenopausal bleeding might develop cancer. This article will explain all you need to know about the causes and cure of bleeding after menopause.
The ICD-10 code for postmenopausal bleeding is N95. 0 and the CPT code for the endometrial biopsy is 58100.
ICD-10 code: N93. 9 Abnormal uterine and vaginal bleeding, unspecified.
N95. 1 - Menopausal and female climacteric states | ICD-10-CM.
The differential diagnosis of postmenopausal bleeding includes many benign and malignant conditions, the most common of which is atrophy, but the most concerning possible etiology is endometrial cancer. As with most malignancies, early diagnosis may lead to a better prognosis.
It's a combination of two different conditions: menorrhagia, which is heavy bleeding during your period, and metrorrhagia, which is when your period lasts more than seven days or you have spotting between periods.
0: Excessive and frequent menstruation with regular cycle.
ICD-10 code: N95. 2 Postmenopausal atrophic vaginitis.
The four core symptoms- hot flashes, poor sleep, genitourinary symptoms/sexual dysfunction, and mood changes were most commonly seen among menopausal women are referred to as postmenopausal syndrome.
As explained earlier, menopause means your last menstrual period. Climacteric more accurately describes the gradual changes and symptoms which occur as the production of hormones and ovarian function diminishes.
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 decrease some menopausal symptoms).
Transvaginal ultrasonography usually is sufficient for an initial evaluation of postmenopausal bleeding if the ultrasound images reveal a thin endometrial echo (less than or equal to 4 mm), given that an endometrial thickness of 4 mm or less has a greater than 99% negative predictive value for endometrial cancer.
In clinical terms, you reach menopause when you haven't had a period for 12 months. Vaginal bleeding after menopause isn't normal and should be evaluated by your doctor.