What is the problem of menstruation in the 60s?

If a woman in her 60s suddenly experiences vaginal bleeding, it is not menstruation. There are many reasons for this symptom, so you must be vigilant at this time. It may be caused by some gynecological diseases. If you do not pay attention to timely examination, it will cause great harm to the health of elderly women. For example, common endometrial inflammation and some other gynecological diseases may cause such phenomena.

What is the problem of menstruation in the 60s?

1. Endometrial inflammation and endometrial atrophy account for about 60%

2. Endometrial polyps account for about 10%

3. Endometrial cancer accounts for about 10%

4. Endometrial hyperplasia accounts for about 10%

5. Bleeding and other causes caused by hormones account for about 7% (such as taking supplements with unknown ingredients)

6. Cervical cancer <1%

7. Others account for about 2% (such as uterine effusion, uterine pyometra, uterine hematocele)

How is endometrial cancer assessed?

1. Medical history and physical examination

1. The timing and nature of bleeding (when does it start? How long does it last? How much is the amount? Is it related to sexual life?)

2. Are there any accompanying symptoms (do you eat well? Do you have pain? Do you have a fever? Is it related to bowel movements and urination?)

3. Do you take any medicine or supplements?

2. Transvaginal Ultrasound Examination

Transvaginal ultrasound examination is non-traumatic, painless, and does not require holding urine. It is most suitable for older female friends, so it is easily accepted.

Generally, the endometrial thickness of postmenopausal women does not exceed 5mm.

It should be noted that even if the endometrium is thin, postmenopausal women with bleeding symptoms should undergo further examinations, such as "curettage".

This is the gold standard method for endometrial examination abroad. It can be performed in an outpatient clinic, avoiding the side effects and pain of curettage. However, it is a blind operation and there is a possibility of missing lesions. But it is not widely used in China.

Method: Use a 3mm diameter pipette to aspirate 3-5 tubes of endometrium for examination.

If the amount of endometrial specimen removed is insufficient or the pathology suggests a benign lesion but bleeding persists, further examination can be performed, such as hysteroscopy + curettage.

4. Diagnostic curettage

The most widely used diagnostic method in our country. It is a blind examination method and cannot rule out the possibility of missing a disease.

If endocervical cancer or metastasis cannot be ruled out, a fractional curettage should be performed, which involves first scraping the endocervical canal and then the uterine cavity to determine where the disease is located.

Learn about the surgical method: Use a 6mm diameter curette to scrape the uterine cavity, especially the uterine cornua on both sides (the uterine cornua are the most prone to endometrial cancer).