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Post Menopausal Bleeding or Bleeding After Menopause - What is it and how should you deal with it?

Menopause is the cessation of periods in a peri menopausal woman for an entire year. Any bleeding which happens after that, no matter how infrequent or insignificant is termed Post Menopausal Bleeding. About 10% of women who are menopausal will experience post-menopausal bleeding. 90% of such women will not have any sinister cause associated with it. in 10% of women, the cause can be uterine cancer. The causes of post-menopausal bleeding are: 1. Thinning of the lining of the womb or vagina 2. Erosion of the mouth of the womb 3. Polyps inside the uterus or cervical canal or the mouth of the womb 4. Thickened lining of the womb due to any hormonal medication 5. Unknown 6. Cancer of the mouth of the womb or the lining of the uterus. Investigations include: 1. Detailed history 2. Examination of the vagina 3. Pap smear 4. Vaginal ultrasound 5. Blood tests 6. Hysteroscopy and endometrial biopsy #drrajeevagarwal #postmenopausalbleed #postmenopausalbleeding #bleedingaftermenopause #heavybleeding #hysteroscopy #endometrialbiopsy #papsmear #wombcancer #endometrialcancer #renewhealthcare #laparoscopicsurgeonkolkata #hysteroscopyinkolkata #gynaecologistinkolkata