The reasons for menstrual bleeding during menopause

Menopausal menstrual bleeding is not necessarily related to factors such as hormonal fluctuations, endometrial lesions, uterine fibroids, coagulation dysfunction, and excessive mental stress. It is recommended to seek medical examination in a timely manner, clarify the cause, and receive targeted treatment.

1. Fluctuations in hormone levels

Menopausal women experience a decline in ovarian function, an imbalance in estrogen and progesterone secretion, which can easily lead to incomplete shedding of the endometrium and symptoms such as menstrual cycle disorders and prolonged periods. This condition is usually accompanied by menopausal symptoms such as hot flashes and insomnia. It can be regulated through hormone replacement therapy, but the medication cycle must be strictly controlled according to medical advice.

2. Endometrial lesions

Long term anovulatory menstruation may cause endometrial hyperplasia or polyps, leading to poor menstrual flow. This type of lesion may be accompanied by symptoms such as abnormal uterine bleeding and lower abdominal pain. Diagnosis should be confirmed through ultrasound examination, and if necessary, hysteroscopic surgery should be performed to remove the lesion.

3. Uterine fibroids

Submucosal fibroids or intramural fibroids may increase the endometrial area and interfere with uterine contraction and hemostasis. Common symptoms include increased menstrual flow, anemia, frequent urination, etc. According to the size of the fibroids, conservative treatment with drugs such as mifepristone or uterine fibroid removal surgery can be chosen. 4. Coagulation dysfunction. Thrombocytopenia, vitamin K deficiency, and other coagulation disorders can prolong bleeding time. May be accompanied by systemic symptoms such as skin bruising and gum bleeding. Coagulation function testing is required, and after diagnosis, iron supplements, vitamin K, or platelet transfusions can be administered.

5. Excessive mental stress

Long term anxiety and tension may affect the hypothalamic pituitary ovarian axis function through neuroendocrine pathways, leading to menstrual disorders. This situation is usually accompanied by emotional fluctuations, palpitations, and other symptoms. Stress can be relieved through psychological counseling, mindfulness training, and short-term use of anti anxiety medication if necessary. When menopausal women experience abnormal uterine bleeding, it is recommended to record their menstrual cycle and avoid strenuous exercise and heavy physical labor. Eat more red meat and animal liver rich in iron, combined with vitamin C to promote iron absorption. Maintaining a regular schedule and engaging in moderate aerobic exercise every day can help improve endocrine status. If bleeding persists for more than 10 days or accompanied by anemia symptoms such as dizziness and fatigue, immediate medical attention should be sought to investigate the possibility of malignant lesions.