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Bleeding after a 12-month bleeding-free period is called post-menopausal bleeding. It is a health problem seen in approximately 10% of women. Since some gynecological cancers may also have bleeding after menopause, it is important to reveal the cause.

Postmenopausal bleeding may originate from the uterus or the cervix. Gynecological examination and pap smear test are used in the detection of bleeding originating from the cervix.

Among the causes of postmenopausal bleeding originating from the uterus, the most common cause is endometrial atrophy, that is, bleeding due to thinning of the inner wall of the uterus. About 60-80% of postmenopausal bleeding is caused by atrophy bleeding. Other causes are intrauterine or cervical polyps, hormone therapy, endometrial hyperplasia (thickening of the lining of the uterus) or endometrial cancer.


Risk factors for postmenopausal bleeding;

  • Obesity (obesity)

  • Long-term use of hormone drugs that do not contain progesterone, but only estrogens,

  • Menopause starting at a young age and entering menopause at an advanced age,

  • Never giving birth or a history of infertility

  • Having a personal or family history of colon cancer or endometrial cancer

  • History of breast or ovarian cancer

  • Ovarian diseases

  • Use of tamoxifen (a hormone drug used in the treatment of breast cancer),

  • Diabetes (diabetes),

  • A diet rich in animal fat,

  • It can be listed as hypertension (high blood pressure).

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