At the age of 50, when menstruation has stopped for three months and menstruation comes again, the possibility of cervical cancer can be suspected, and vigilance is needed at this time. Clinical causes of postmenopausal bleeding include endometrial cancer, other uterine pathologies, hormonal instability, etc., which need to be further examined to make a comprehensive judgment.
Early stage cervical cancer patients may not have any symptoms, but older patients need to be alerted to the possibility of cervical cancer when they show vaginal bleeding after menopause; endometrial cancer may also show irregular vaginal bleeding after menopause.
Other uterine lesions such as uterine polyps and submucosal fibroids may also cause vaginal bleeding due to the stimulation of the uterine cavity; most of the patients will indirectly stimulate the secretion of hormone levels after the pituitary gland and the hypothalamus become abnormal, which will further lead to the thickening of the endometrium and cause vaginal bleeding.
Patients with postmenopausal vaginal bleeding should go to the hospital promptly. The diagnosis can be clarified through cervical cytology, HPV test, colposcopy and pathologic biopsy.