Much of the treatment for post menopausal bleeding lies in finding out the exact cause of the condition. If the bleeding is caused by conditions like endometrial atrophy or endometrial hyperplasia, the doctor would recommend medications to treat the condition.
In the case of endometrial hyperplasia, the doctor may also recommend hormone replacement therapies like progesterone therapy or surgical removal of the thickened uterine lining.
Both endometrial atrophy and endometrial hyperplasia would require frequent monitoring by the doctor to check for progress (reduced vaginal bleeding). If the cause for post menopausal bleeding is attributed to uterine polyps, the doctor would recommend medications to reduce the polyps or surgery to remove them completely.
Treatment options for Post Menopausal Bleeding
In case the bleeding is attributed to a more serious condition like endometrial cancer, the doctor would recommend a hysterectomy to remove all or part of the uterus (including the ovaries, fallopian tubes, vagina and cervix) in order to prevent the disease from spreading to other parts of the body.
In certain cases, some lymph nodes present near the uterus would also be removed. This is usually followed by radiation, chemotherapy and hormone therapy sessions in case the condition is very severe.
You may experience post menopausal bleeding due to a miniscule problem like uterine polyps. However, you can also experience post menopausal bleeding due to a serious condition like endometrial cancer.
A quick diagnosis and treatment would ensure that you successfully prevent post menopausal bleeding and the condition causing it. So don’t be negligent if you experience bleeding after menopause. Rush to the doctor immediately to have it checked out and treated. This way, you can recover from the condition quicker and better.
Post Menopausal Bleeding Tests Include
A transvaginal ultrasound is carried out by inserting a special wand like device into the vagina and uterus. The tip of the wand would disperse HF sound waves which would relay back images of the pelvic organs (including the uterine walls, fallopian tubes and the ovaries etc.).
The images would be displayed on a computer screen and would help the doctor check for medical abnormalities if any in the region that could be causing the condition.
Dilation and Curettage (D&C)
A D&C would involve the removal of a part of the tissue from the endometrial lining. This test is usually preferred when the doctor needs more than just a small sample of the uterine lining.
A D&C would mostly be performed at a surgical center or hospital. And the retrieved tissue would be sent to a medical lab for diagnosis.
A hysteroscopy would involve the use of a device called the hysteroscope which would resemble a thin tube with a tiny light and camera attached to the tip. The device is inserted into the uterus via the vagina and relays back images of the uterine walls and cavity to the doctor who can check for possible problems causing the bleeding.
In this method, a thin straw like tube with a loop at the end is inserted into the uterus via the vagina. The loop at the end of the device is used to scrape the uterine wall for a small sample of the endometrial lining. The biopsy device is usually used in conjunction with a hysteroscope which would aid the doctor in choosing the best spot inside the uterus to get a sample. Retrieved samples are then sent to the lab for clinical evaluation and diagnosis.
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