Will menopause cause menstrual bleeding and incomplete menstruation

Menopause may result in incomplete menstrual bleeding, mainly related to factors such as ovarian dysfunction, hormonal fluctuations, endometrial lesions, coagulation dysfunction, and mental stress.

1. Ovarian function decline

During menopause, ovarian function gradually declines and estrogen secretion decreases, leading to abnormal ovulation. When follicles are immature or anovulatory, the endometrium cannot shed regularly, and there may be sustained small amounts of bleeding. This condition is usually accompanied by menstrual cycle disorders, and symptoms can be alleviated by dietary adjustments and supplementation of phytoestrogens.

2. Fluctuations in hormone levels

Menopausal estrogen and progesterone imbalance can easily cause endometrial hyperplasia or incomplete shedding. When estrogen continues to stimulate endometrial hyperplasia and lacks progesterone resistance, it can cause incomplete shedding of the endometrium, manifested as prolonged menstruation or spotting. Moderate exercise helps stabilize endocrine levels.

3. Endometrial lesions

Long term anovulatory menstruation may induce endometrial polyps, endometrial hyperplasia, and other lesions. These lesions can cause abnormal uterine bleeding, which may last for more than 7 days. Gynecological ultrasound examination can provide a clear diagnosis, and if necessary, scraping treatment should be performed.

4. Coagulation dysfunction

Some menopausal women have thrombocytopenia or abnormal coagulation factors, which make menstrual blood difficult to coagulate. This condition may be accompanied by symptoms such as gum bleeding and subcutaneous bruising, and requires coagulation function testing. Increasing the intake of foods rich in vitamin K can help improve coagulation function.

5. Mental stress

Menopausal mood swings are large, and long-term anxiety and tension may affect the hypothalamic pituitary ovarian axis function through neuroendocrine pathways. Elevated levels of stress hormones can disrupt normal menstrual cycles, leading to prolonged periods. Meditation, psychological counseling, and other stress relieving methods can help improve symptoms.

When menopausal women experience incomplete menstrual bleeding, it is recommended to record the time and amount of bleeding to avoid intense exercise and overwork. Eat more iron rich animal liver and spinach to prevent anemia, and limit spicy and stimulating foods. Maintain a regular daily routine and a positive mindset. If bleeding persists for more than 10 days or the amount of bleeding is excessive, seek medical attention promptly to rule out organic lesions. Gynecologists may prescribe medications such as progesterone and hemostatic drugs based on the situation, or recommend hysteroscopy examination.