What Is the Most Common Cause of Postmenopausal Bleeding?

What Is the Most Common Cause of Postmenopausal Bleeding? | MenopauseCoach.com

Any women sooner or later will hit the menopause or else called the climax. Even though innovative medicine went so much far, this natural process is a culmination of the historically determined purpose of women, reproduction. However, today there are many interminable controversies that this task already recedes into the background. Nevertheless, the climax is a culmination for giving birth to kids. Unfortunately, this phase does not solely finish on such consequences but may bear other negative results. One of them is postmenopausal bleeding that is not only uncomfortable but can be somehow dangerous.

What Is It?

After consecutive 12 months of being without periods, a woman is diagnosed with menopause. Before reaching this period, she may experience poor or irregular bleeding that in medical terminology is considered as perimenopause. After, all vaginal bleeding comes to the end. But, some women, still experience bleeding after menopause. And, you may greatly spoil your life and deteriorate well-being if you skip the obligatory consultation with a doctor. And, there are many reasons why. 

For instance, 10% of women may have it because of endometrial cancer. So, it is a must to consult your gynecologist since the early stages of climax help to eliminate the occurrence of other diseases that can be by mistake diagnosed with menopause. 

When surfing the Internet or receiving the medical clearance, you may also come across other names of this pathology or billable code, it is ICD 10 code for postmenopausal bleeding. This number is used for easy classification of diseases with a further investigation of statistics. 

What Are the Causes of Postmenopausal Bleeding?

Several different conditions may lead to bleeding such as estrogen therapy, vaginal infections, or medications that have such side effects. Note, only your doctor can determine them. Other postmenopausal bleeding causes are:

  • Cancer. As it was said before, postmenopausal bleeding ICD 10 is one of the most common and dangerous symptoms of endometrial cancer. Immediate treatment may save your life;
  • Atrophy. It is the result of endometrial problems. The tissue covering the female uterus may go thin with time. Thus, it does not keep it strong and provokes bleeding;
  • Sexually transmitted diseases. Gonorrhea or chlamydia may cause bleeding after menopause as well;
  • Hyperplasia. Another case when the lining of the uterus is thicker than normal because of excessive production of the estrogen;
  • Fibroids. The uterine muscle may be covered with the growths that can and should be removed;
  • Polyps. The growths covering the uterus lining. Especially, it is the event of postmenopausal bleeding after sex;
  • Thyroid disorders especially in women who struggle from the excessive weight;
  • Pelvic trauma.

If you notice bleeding during sexual intercourse, stop immediately. Check maybe it can be caused by trauma or scratch of the tissues. In such events, you will have to abstain from sexual life for a while. If you continue to experience the same thing even after treating the previous case, there should be applied to another treatment.

One more thing, can stress cause postmenopausal bleeding? Yes, and yes. Somehow, it should be chronic and prolonged stress caused by depression or mood changes that negatively affect the health condition. However, such cases are very rare.

To spot or identify the exact or the most common cause of postmenopausal bleeding in your case, a gynecologist will perform a medical examination or ask you to undergo a few procedures or tests. They are biopsy, where a sample of the linen is taken for examination. Ultrasound for checking the pelvic organs. Hysteroscopy for examining your uterus. And, at last, D&C, where tissue from the lining is taken again in the lab.

Depending on the results received from a postmenopausal bleeding workup, a doctor will choose the direction of treatment. Be ready to answer such questions as to when you noticed the first bleeding, how it felt like, how dense was bleeding, is someone from family have been previously diagnosed with the same pathology. After choosing the methods of affecting this intimate problem, you are better to follow a sedentary lifestyle for a while and avoid stressful situations. 

What Is the Treatment?

Once your gynecologist knows what was the cause of your postmenopausal bleeding symptoms, there are a few approaches applied to affect or get rid of it.

  1. Estrogen or Hormonal Therapy. It is suitable for treating endometrial atrophy. There is a choice of its forms such as pills, creams for vagina, vaginal ring, and vaginal tablet;
  2. Progestin Therapy. For hyperplasia. Again, available in forms of pills, shots, creams;
  3. Hysteroscopy. For removing your polyps or thickened parts of the lining;
  4. D&C. For removing polyps or the lining thickened parts as well;
  5. Hysterectomy. For removing parts or everything from the uterus. It is an ICD 10 postmenopausal bleeding treatment aimed to deal with cervical or endometrial cancers;
  6. Chemotherapy or Radiation. For patients who continue treatment of cancer after the surgical operations.
  7. Medicines. Antibiotics for sexually transmitted diseases and other infections.

Final Observations

As per surveys, approximately 4% to 11% of women cope with postmenopausal bleeding and cramping. Being in the stage of the early climax, bleeding is acceptable. After hitting the menopause, all such manifestations even with the small amount should be directly addressed to the doctor. Remember, early medical examination saves lives, especially, if this icd 10 for postmenopausal bleeding is the sign of endometrial cancer.

If taking care of your health in advance, the chance of experiencing the supporting symptoms of menopause are minimal. For instance, ladies should think about doing Kegel exercises that may strengthen vaginal muscles and may bring more new feelings to sexual intercourse. Today, it if not obligatory to visit specialized classes but you can download mobile applications and set reminders to spend 5 minutes daily for building your muscles.

Quit or reduce smoking. The more you smoke, the more chances you will get more negative symptoms when coming to the climax. Excessive alcohol drinking should be also minimized. 

FAQ

❣ What is postmenopausal bleeding?

Postmenopausal bleeding occurs in a woman’s vagina after she has undergone menopause, caused to changes in hormonal levels and atrophic vaginitis. Postmenopausal bleeding requires a visit to the doctor and treatment.

🙎‍♀️ What is the most common cause of postmenopausal bleeding?

The most common causes of postmenopausal bleeding, caused by lower estrogen levels, are atrophic vaginitis and inflammation and thinning of the vaginal lining and womb endometrial.

👩‍⚕️ Which ICD 10 for postmenopausal bleeding?

According to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO):
ICD-10-CM Diagnosis Code N95.0 Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause
Type 1 Excludes
excessive bleeding in the premenopausal period (N92.4)



 

Dr.Ruth Westheimer

An American sex therapist, media personality, author, radio, television talk show host, and Holocaust survivor.

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