What causes postmenopausal bleeding?
Postmenopausal bleeding
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.
Your doctor can perform a hysterectomy in several ways:
SUMMARY AND RECOMMENDATIONS. ● Definition – Postmenopausal bleeding (PMB) refers to any uterine bleeding in a menopausal patient (other than the expected cyclic bleeding that occurs in patients taking combined [ie, estrogen-progestin], cyclic, postmenopausal hormone therapy).
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.
Postmenopause is the time after you've been without a menstrual period for 12 months. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. People in postmenopause are at increased risk for osteoporosis and heart disease.
In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancer—a malignancy of the uterine lining, but only in a small number of cases.
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.
The underlying cause of abnormal vaginal bleeding is age-dependent. Ten percent of premenopausal women with abnormal bleeding have a malignant tumor. In contrast, 75% of women over 70 years of age with postmenopausal bleeding have cancer, and the risk rises with age in postmenopausal women.
Menopause is the end of menstruation. 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.
Any woman still experiencing a menstrual cycle in her late 50s and 60s should see a doctor. However, it's important to note that each woman's reproductive system is different. Just as each young woman starts menstruating at a different age, menopause comes at a different age for each woman.
Simply put, women who experience post-menopausal bleeding should seek medical attention immediately. Early detection of abnormal cells or cancer increases the survival rate.
Older women should see a doctor promptly if they have a discharge, particularly if the discharge contains blood or is brown or pink (possibly indicating a small amount of blood).
It's possible that you experience vaginal bleeding months or years after a hysterectomy. This may be because of vaginal atrophy or another medical condition, such as cancer. Call your doctor to discuss any bleeding that occurs more than six weeks after your procedure.
Hormone replacement therapy (HRT) in menopause is medical treatment in surgically menopausal, perimenopausal and postmenopausal women. Its goal is to mitigate discomfort caused by diminished circulating estrogen and progesterone hormones in menopause.
DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N95.0. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 627.1 was previously used, N95.0 is the appropriate modern ICD10 code.