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Vaginal bleeding after menopause

Also known as Postmenopausal Bleeding

Vaginal bleeding is any bleeding through the vagina, including bleeding from the vaginal wall itself, as well as (and more commonly) bleeding from another location of the female reproductive system. Generally, it is either a physiologic response during the non-conceptional menstrual cycle or caused by hormonal or organic problems of the reproductive system. Vaginal bleeding may occur at any age, but always needs investigation when encountered in female children or postmenopausal women. Vaginal bleeding during pregnancy may indicate a possible pregnancy complication that needs to be medically addressed.

Source: Wikipedia

What causes it?

The most common causes of vaginal bleeding after menopause are endometrial cancer, uterine cancer, and uterine fibroids. Other possible causes, such as vulvodynia, are more rare.

What symptoms are related?

Within all the people who go to their doctor with vaginal bleeding after menopause, 21% report having involuntary urination, 12% report having mass on vulva, and 12% report having lump or mass of breast.


What might my doctor prescribe?

Common Tests and Procedures

Patients with vaginal bleeding after menopause often receive pelvis exam, radiographic imaging procedure, biopsy, ultrasonography, examination of breast, other diagnostic procedures; female organs, mammography and rectal examination .

Common Medications

The most commonly prescribed drugs for patients with vaginal bleeding after menopause include estradiol, medroxyprogesterone, midazolam (versed), propofol, ascorbic acid, olmesartan (benicar), travoprost (travatan), hydroxychloroquine (plaquenil), thiopental (pentothal), black cohosh extract (black cohosh), hydrocortisone-pramoxine topical, nitrous oxide and indapamide .

Who is at risk?

Groups of people at highest risk for vaginal bleeding after menopause include age 60-74 years, sex == female and age 45-59 years. On the other hand, sex == male, age 5-14 years, age 1-4 years, and age < 1 years almost never get vaginal bleeding after menopause.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.1x
45-59 years
2.6x
60-74 years
2.2x
75+ years
1.3x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.8x
Hispanic
0.8x
White
1.1x
Other
1.4x
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