Postmenopausal contact bleeding needs to identify the cause, may be caused by senile vaginitis, cervicitis, cervical cancer, etc., need to be under the guidance of the doctor to carry out targeted treatment, such as medication, surgical treatment.
1. Geriatric vaginitis: common in postmenopausal women, bloody discharge or bleeding after coitus, preferred anti-anaerobic drugs, such as metronidazole, clindamycin, etc., at the same time for the cause of the supplementation of the appropriate amount of estrogen, such as estrogen ointment, etc..
2. Cervicitis: some patients mainly for the increase in vaginal discharge, vaginal irregular bleeding, can be after sex, or gynecological examination. If caused by mycoplasma infection, use azithromycin, roxithromycin and so on.
3. Cervical cancer: there are often no obvious symptoms in the early stage, and occasionally there is increase in vaginal secretion with or without foul smell, or vaginal bleeding can be found after sexual life or gynecological examination. Treatment should be chosen according to the pathological type, tumor size, proliferation and metastasis, and patient’s age, etc. Surgery, radiotherapy, chemotherapy, targeted therapy and immunotherapy are the main treatments.
Postmenopausal contact bleeding does not exclude other factors, it is recommended that the patient timely consult the doctor to clarify the cause, and then give targeted treatment, do not blindly self-medication.