At 54 years of age, menopause for two years and then menstruation is an abnormality and is considered to be a possible pathology of the endometrium or cervix.
1. endometriosis: ultrasound examination to understand the thickness of the endometrium, the uterine cavity with or without space-occupying lesions. If the bleeding originates from the uterine cavity through the above examination, endometriosis is considered to be more likely and hysteroscopic exploration is recommended. Under hysteroscopy, resection of abnormal lesions in the uterine cavity or curettage of the endometrium will be performed, and further management will be decided according to the pathologic results.
2. Cervical lesions: cervical HPV and TCT examination to find out whether there are cervical lesions, and cervical biopsy if necessary, to exclude the possibility of cervical cancer.
Vaginal bleeding after menopause should be taken seriously, and the cause should be clarified by the doctor in time, and the treatment should be standardized under the doctor’s guidance, so as to avoid delaying the condition.