What Causes Vaginal Bleeding During Menopause?
Can be uterine or cervical cause.
Detailed Answer:
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Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus.The other causes can be divided into gyneacological and non gynaecological. The most common gynaecological causes would be vaginal atrophy or dryness or problems related to the cervix.
The vaginal dryness would respond to topical estrogen replacement creams and a pap smear would be able to assess the state of the cervix to determine if there are any problems with it.
Lesions of the ovary can also cause this symptom.
In terms of non gynaecological causes, this is not as common but has been documented in the medical literature.
The possible cause is most commonly infiltration of a lesion into the vaginal area. There have been cases where the bleeding was related to lesions that would have originated from the appendix, the kidney and a lady where the bleeding was related to a lymphoma.
These are rare scenarios but are possibilities.
This is not meant to alarm, if it has I apologize. You may want to consider visiting your doctor for assessment which may include a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), kidney blood tests such as creatinine. CEA)
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
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