Menopause is now called perimenopause. Bleeding from cervical cancer and perimenopausal bleeding can be distinguished mainly by the following ways: mode of bleeding, bleeding trait, auxiliary examination and so on.
1. Bleeding mode: early cervical cancer bleeding is mainly manifested as contact bleeding, such as in the case of coitus, cervical examination, etc., which leads to bleeding; in the late stage of cervical cancer, due to tumor enlargement invading blood vessels or tumor detachment and necrosis, spontaneous vaginal bleeding may occur. Perimenopausal bleeding usually manifests as spontaneous vaginal bleeding without any causative factors.
2. Bleeding symptom: Bleeding in the early stage of cervical cancer usually only manifests as a small amount of vaginal bleeding or bloody secretion. In the later stage, the bleeding of cervical cancer may increase, the color is mostly bright red, and the patient may be accompanied by abdominal pain and other symptoms. In perimenopausal bleeding, the menstrual blood is mostly dark red, the amount of menstruation is more or less, and the symptoms of abdominal pain are usually not obvious if there is no combination of other diseases.
3. Auxiliary examination: cervical cancer screening, colposcopy and other examinations will show abnormal changes in cervical cells or tissues, and pathological tissue biopsy can clearly identify cervical cancer; perimenopausal bleeding due to hormonal abnormalities does not usually occur as mentioned above.
Consultation with a specialized doctor is recommended for specific cases.