Can menstrual bleeding during menopause not heal on its own

Menopausal menstrual bleeding is usually not self-healing and may be related to endocrine disorders, uterine fibroids, endometrial lesions, coagulation dysfunction, hormonal fluctuations, and other factors. It is recommended to seek medical attention promptly to identify the cause and avoid delaying treatment.

1. Endocrine disorders

Menopausal ovarian dysfunction can lead to an imbalance in estrogen and progesterone secretion, causing abnormal endometrial hyperplasia or incomplete shedding. This situation requires a doctor's evaluation and the use of hormone replacement therapy for regulation. Commonly used drugs include estradiol valerate tablets, progesterone capsules, etc. Daily improvement can be assisted by regular sleep patterns, reducing stress, and other methods.

2. Uterine fibroids

Uterine fibroids are more common in menopausal women and may compress the uterine cavity, leading to prolonged menstrual periods. When the diameter of the fibroid is small and asymptomatic, it can be observed and followed up. If there is continuous bleeding, surgical resection should be considered. Ultrasound examination can clarify the size and location of fibroids, and doctors will recommend uterine fibroid removal surgery or hysterectomy according to the situation.

3. Endometrial lesions

Long term anovulatory menstruation may cause endometrial hyperplasia or even malignancy, manifested as irregular bleeding. Diagnosis relies on hysteroscopy and pathological biopsy. Mild hyperplasia can be treated with levonorgestrel intrauterine sustained-release system, while severe atypical hyperplasia is usually recommended to undergo total hysterectomy.

4. Coagulation dysfunction

Thrombocytopenia or lack of coagulation factors can exacerbate menstrual bleeding and require diagnosis through blood routine, coagulation tests, and other tests. While treating the primary disease, doctors may prescribe hemostatic drugs such as tranexamic acid, but the risk of thrombosis must be ruled out before use. Daily use of aspirin drugs that affect coagulation should be avoided.

5. Fluctuations in hormone levels

During the menopausal transition, there are severe fluctuations in follicle stimulating hormone and luteinizing hormone levels, leading to menstrual cycle disorders. This situation may last for months to years, and if necessary, doctors may prescribe low-dose estrogen or oral contraceptives for short-term adjustment. Maintaining moderate exercise helps stabilize autonomic nervous system function. When menopausal women experience abnormal uterine bleeding, it is recommended to record the time and amount of bleeding, and avoid vigorous exercise and baths. Eat more iron rich foods such as animal liver and spinach to prevent anemia, and limit the intake of spicy and stimulating foods. Regular gynecological examinations and ultrasound monitoring are important. If bleeding is accompanied by anemia symptoms such as dizziness and fatigue, seek medical attention immediately. Depending on the cause, the treatment cycle may last for several weeks to months, and it is necessary to follow the doctor's instructions for standardized medication and follow-up examinations.