The Following Patients With Uterine Fibroids After Menopause Should Cause Oncological Alertness:
- with large sizes of myomatous nodes
- with submucous localization of uterine fibroids
- with recurrent and atypical endometrial hyperplasia
- with a combination of uterine fibroids and adenomyosis
- with the severe neuroendocrine syndrome
- in the absence of regression of uterine fibroids after menopause against the background of age-related extinction of ovarian function.
In addition, the likelihood of activation of fibroids with menopause is increased in those women whose family history has had cases of this pathology. This is important to consider when treating uterine fibroids.
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What Does Discharge Mean
Vaginal discharge can tell you more than you might realise. A fluid produced by the glands inside your vagina and cervix, it helps to protect your intimate area from infection. Healthy discharge can be clear or white in colour while the consistency can be slippery and wet or thick and sticky. The amount you produce will depend on a range of factors. For example, its common to get heavier discharge if youre sexually active, on birth control or pregnant. Also, you may notice more of it, and it may become clear and have an egg white consistency, around the time you ovulate. These changes in colour and thickness are completely normal and are associated with your cycle.
However, other changes may indicate an infection that requires treatment.
Causes Of Postmenopausal Bleeding
There can be several causes of postmenopausal bleeding.
The most common causes are:
- inflammation and thinning of the vaginal lining or womb lining caused by lower oestrogen levels
- cervical or womb polyps growths that are usually non-cancerous
- a thickened womb lining this can be caused by hormone replacement therapy , high levels of oestrogen or being overweight, and can lead to womb cancer
Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian and womb cancer.
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What Would Cause A Bloody Discharge After Menopause
Discharge that occurs after menopause is usually caused by atrophy of the vaginal walls. It is important that medical evaluation take place when the discharge is bloody or is excessive. Infection may be a cause of discharge after menopause and should be diagnosed to begin treatment as soon as possible.
Diagnosis And Treatment Of Atrophic Vaginitis
GLORIA A. BACHMANN, M.D., and NICOLE S. NEVADUNSKY, Robert Wood Johnson Medical School, New Brunswick, New Jersey
Am Fam Physician. 2000 May 15 61:3090-3096.
Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Because the condition is attributable to estrogen deficiency, it may occur in pre-menopausal women who take antiestrogenic medications or who have medical or surgical conditions that result in decreased levels of estrogen. The thinned endometrium and increased vaginal pH level induced by estrogen deficiency predispose the vagina and urinary tract to infection and mechanical weakness. The earliest symptoms are decreased vaginal lubrication, followed by other vaginal and urinary symptoms that may be exacerbated by superimposed infection. Once other causes of symptoms have been eliminated, treatment usually depends on estrogen replacement. Estrogen replacement therapy may be provided systemically or locally, but the dosage and delivery method must be individualized. Vaginal moisturizers and lubricants, and participation in coitus may also be beneficial in the treatment of women with atrophic vaginitis.
What Are Some Symptoms Of Uterine Cancer
Uterine cancer usually occurs after menopause, typically between the ages of 60 and 70. It also may occur around the time that menopause begins. Abnormal vaginal bleeding is the most common symptom of uterine cancer. Bleeding may start as a watery, blood-streaked flow that gradually contains more blood. Women should not assume that abnormal vaginal bleeding is part of menopause. A woman should see her doctor if she has any of the following symptoms:
- unusual vaginal bleeding or discharge not related to menstruation, most commonly postmenopausal bleeding
- thin white or clear vaginal discharge after menopause
- extremely long, heavy or frequent episodes of vaginal bleeding after age 40
- difficult or painful urination
- pain during intercourse
- pain in the pelvic area
These symptoms can be caused by cancer or other less serious conditions. Most often they are not cancer, but only a doctor can tell for sure.
Is Bleeding During Perimenopause Normal
The years before menopause are called perimenopause. During this time, your hormones shift. Your period may be heavier or lighter than usual. You may also have spotting. Thatâs normal. But if your bleeding is heavy or lasts longer than usual, talk to your doctor. You should also get checked out if you bleed after sex or more often than every 3 weeks.
Ming Tsai, MD, associate professor, obstetrics and gynecology, NYU School of Medicine chief of service, obstetrics and gynecology, NYU Lutheran, New York City.
American College of Obstetricians and Gynecologists: âEndometrial Biopsy,â âEndometrial Cancer,â âEndometrial Hyperplasia,â âHysterectomy,â âPerimenopausal Bleeding and Bleeding After Menopause,â âSonohysterography.â
Mayo Clinic: âBleeding After Menopause: Is It Normal?â âDilation and curettage ,â âDiseases and Conditions: Menopause,â âVaginal Atrophy.â
Journal of Midwifery and Womenâs Health: âAbnormal Uterine Bleeding.â
Cleveland Clinic: âWhat is Hysteroscopy?â
Obstetrics & Gynecology: âManagement of Endometrial Precancers.â
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Is There A Way To Prevent The Problems That Cause Spotting
Menopause is different for every woman. You cant prevent most of the problems associated with spotting. But there are some things you can do to get an early diagnosis and treat them before they get worse, including:
- Getting a yearly checkup. If youre at high risk for cervical or uterine cancer, ask your doctor how often you should get a Pap smear and pelvic exam.
- Reporting unusual discharge, spotting, or bleeding to your doctor right away, especially if accompanied by pain or other symptoms.
- Telling your doctor if intercourse is uncomfortable or painful.
The Only Constant Is Change
When it comes to female hormonal health, it can seem like change is always present. And just when you think you know whats going on, it can often change again!
But by being aware of the subtle clues, many women can see the signs that their body is showing them and appreciate the greater cycle at play.
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Is It Normal To Have Discharge Every Day
When it comes to vaginal discharge, whats typical for you might not be typical for your friend or even your sister. And not only are there differences between women, there are also variations depending on factors like your age and where you are in your menstrual cycle. All in all, this can make it difficult to know whats normal. For example, how can you tell if any changes you notice are just the result of hormonal shifts or if they might be a sign of an infection? To help you get to grips with this potentially confusing topic, weve answered some of the most commonly asked questions.
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Key Points About Vaginal Discharge
A vaginal discharge may be accompanied by itching, redness, burning, and soreness.
Likely causes depend on age.
Usually, doctors examine a sample of the discharge to check for microorganisms that can cause infections.
Treatment depends on the cause, but applying cold packs or sitting in a warm sitz bath can help relieve symptoms.
Any discharge that occurs after menopause requires prompt evaluation by a doctor.
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Changes During The Menopause
Changes to the vagina and vulva are common during the perimenopause , and are due to yes, you guessed it! your changing hormone levels.
Women in midlife typically experience a dramatic reduction in oestrogen levels, which can affect the vaginal and vulval tissues, making them thinner, less elastic and more prone to damage and pain.
The overall amount of vaginal discharge and natural lubrication also often decreases after the menopause. And while this change is normal, it can lead to symptoms of vulval dryness, irritation and painful sex.
The good news is, these symptoms can be successfully treated with vaginal moisturisers, lubricants or topical hormonal creams, so you dont have to put up with them see your trusted GP to discuss your management options.
Symptoms Of Fibroids After Menopause
The main clinical manifestations of non-regressing uterine fibroids after menopause are as follows:
- late onset of menopause
- lack of regression of uterine fibroids in the first 1-2 years of postmenopause
- endometrial pathology
- chronic anemia in the absence of pathology of other organs and systems.
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What Your Body Goes Through Around Menopause
Menopause happens when the ovaries no longer release an egg each month and the menstrual cycle totally stops.
This event happens after a natural decline in reproductive hormones, usually around 4555 years of age. The exact timing of menopause varies based on personal factors like genetics, previous pregnancies, physical activity, and body weight.
As you experience the changes of menopause, your monthly periods will eventually stop. According to the Stages of Reproductive Aging Workshop , a few years before a person undergoes menopause, the length of the menstrual cycle becomes more irregular, leading to cycles that can be 60 days or longer. This time is known as the menopause transition or premenopause.
Menopause is a one-time event that is marked by a persons final menstrual period. It becomes clear that this menstrual period was the final one only after 12 months without periods. It also signals the end of perimenopause, a term that means the time around menopause. Perimenopause begins at the menopausal transition and ends 12 months after the final menstrual period.
The time after the final menstrual period is called postmenopause.
Menopause occurs in a few different ways. Here are some of the most common:
- Naturally around the age 4558 years
- Because of surgery to remove the uterus
- In response to chemotherapy or radiation therapy
- Due to primary ovarian insufficiency
Some of the physiological changes around menopause can involve the following:
Body Odour And The Menopause
We get lots of emails from women worried about the smell of their vagina during the menopause. Worrying about how they smell when at work or socialising with family and friends and even during sex can cause real distress. It can really knock their confidence, which may already be affected by the menopause. I will try and explain what may be going on and how you can help yourself.
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Causes Of Vaginal Discharge
Vaginal discharge is common and can occur for a number of reasons. Glands inside your vagina and cervix make small quantities of fluid that are discharged every day. This is normal and experienced by every woman, and it keeps your body healthy. During times of ovulation, sexual excitement or breasting feeding, the liquid can have a stronger white color and be thicker.
Discharge that occurs after menopause is usually caused by atrophy of the vaginal walls. It is important that medical evaluation take place when the discharge is bloody or is excessive. Infection may be a cause of discharge after menopause and should be diagnosed to begin treatment as soon as possible. Menopause is a stage of life and not a medical condition. The symptoms can be distressing, but in most cases harmless for a woman.
Experiencing a discharge after menopause may be disconcerting, but it is important to discover the cause of the discharge. After menopause, a white, thick discharge may be caused by vaginal atrophy. Estrogen replacement therapy may be used to treat this type of discharge.
After a woman reaches menopause, there is a lack of vaginal fluids produced by the body. This can cause a greater incidence of infection. The vaginal fluids and menstruation acts as protection from infection earlier in life. When there is no longer any protection, infection is more common. This can also be the cause of vaginal discharge after menopause.
What Changes To Expect As You Age
As you get older, your estrogen levels decrease, causing an imbalance in your pH levels.
But, when hormones change during menopause, you may experience changes to how your vagina feels and smells. This includes:
Vaginal irritation. Itching and burning in your vagina can happen because of all the hormonal changes your body is going through. To relieve this discomfort, you can try vaginal lubricants and creams, estrogen cream, and natural oils like jojoba or coconut.
Dryness. This can happen when your vaginal secretions are decreased. It can also make sexual intercourse painful or uncomfortable. You can ease these symptoms with lubricants and gels.
Inflammation. This can cause infection or pain when urinating. If you have an infection, you may notice an overwhelming unpleasant vaginal odor. You may need to see a gynecologist to get antibiotics for your infection.
Discharge with bad odor. This odor may seem different and unpleasant to you. This happens when your vaginal alkalinity increases. A changing pH level in your vagina is normal during and after menopause.
If you have concerns about your changing vaginal smell or overall health, its best to consult with your gynecologist. They can help guide you through these changes and prescribe products that can ease your symptoms.
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Post Menopausal Brown Discharge
Hello everyone. I am 2+ years post menopausal and have had some slight brown discharge/staining and a little bit of cramping. U/A showed my uterus too thick at 9mm with increased vascularity and heterogeneity. Gyno has immediately referred me to Gyn Oncologist – I have a consultation in a few days then likely a D& C. I’m terrified. Any others with the same experience?
4 likes, 92 replies
Posted 4 years ago
Hi Krayne, yes, lots of ladies here have had the same. I had a biopsy under GA about two years ago, very quick easy procedure, rapid recovery, was back at work the next day. All was normal. Had a second episode not so long ago, almost like a period that didnt happen. Agreed with GP just to keep an eye on it. Please try not to worry. I know thats easy to say. I was told my thickened uterus was normal for my stage of menopause. The spotting of blood was like a period. I think we go through so many changes, we almost lose control and our bodies dont behave or respond as before. Its like little surges of hormones causing the body to do funny things. The day I was in hospital, there were 6 of us having the same thing. One lady had had a sudden onset of very heavy bleeding, and I dont think the news was good. The rest of us went on our merry way thinking how lucky we were. Hope you can have it done soon and be a peace. Take care. Xx
Is It Normal To Have Discharge After Menopause
The vagina produces secretions to lubricate the vaginal walls. Some people experience increased discharge during perimenopause and reduced discharge after menopause.
Vaginal discharge is often normal, but some characteristics could indicate the presence of an infection or other condition. It is important to determine when discharge is healthy and when to contact a doctor.
According to some 2007 research , people may perceive vaginal discharge as abnormal when it is, in fact, physiological. Physiological vaginal discharge is white or clear and varies with changes in hormone levels in the body.
Knowing the difference between typical discharge and unusual discharge is important for people before, during, and after menopause.
Healthy vaginal discharge is typically white or clear. However, the amount, color, and consistency of vaginal discharge can vary widely from person to person.
Normal vaginal discharge has the following characteristics:
- clear or white
- does not stick to the walls of the vagina
- pools in the posterior fornix, which is a large recess behind the cervix
Healthy vaginal discharge also does not have a bad smell.
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When To See Your Doctor
Vaginal smells change as you get older. But some smells are not normal and can be a sign of an infection or another medical condition. If the following odors are coming from your vagina, you should contact your gynecologist:
- A persistent fishy odor that smells like dead fish. This could be a sign of a bacterial or sexually transmitted infection.
- A rotten meat smell. This foul-smelling odor is a sign that something is wrong inside your vagina. This smell may come with other symptoms like colorful discharge and pain when urinating. Youll want to see your gynecologist immediately.
Along with an overwhelming vaginal odor, you may have other symptoms that indicate a serious condition. Other things to look for include:
- Bleeding when not on your period
What Is Cancer Of The Uterus
The uterus is part of a woman’s reproductive system. It is the hollow, pear-shaped organ in the pelvis. The wall of the uterus has two layers of tissue. The inner layer or lining is the endometrium, and the outer layer is muscle tissue called the myometrium. The most common type of cancer of the uterus begins in the lining . Although the exact cause is unknown, increased levels of estrogen appear to have a role. Estrogen helps stimulate the buildup of the epithelial lining of the uterus.
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