What to do if vaginal bleeding occurs after menopause

　　Elderly women over sixty years old have long menopause , irregular vaginal bleeding suddenly occurs, which Western medicine calls "postmenopausal bleeding", which is common among older women. Gynecology disease One of the important early symptoms. Traditional Chinese medicine has long recognized that this phenomenon of "renewed menstruation in old age" is not menstruation, but a reflection of disease. For example, the Qing Dynasty's book "Fu Qingzhu Nvke" said: "If a woman is in her fifties, or sixty or seventy, and her menstruation suddenly occurs, she may have purple blood clots, or it may appear like red blood. People may say that an old woman is menstruating, but it is not menstruation." This is because the liver is not stored and the spleen is not unified. ”
　　
　　Western medicine believes that there are many causes of postmenopausal bleeding, but there are only two categories of diseases, benign and malignant. atrophic Uterus Endoenditis is the most common, others such as senile Vaginitis , cervical polyps, endometrial cancer, ovarian cancer cervical cancer、ovarian cancer wait. The proportion of the two types of diseases is approximately half each. Therefore, once vaginal bleeding occurs in elderly women, regardless of whether the first bleeding is large or small, continuous bleeding or intermittent bleeding, the patient should attach great importance to it and conduct a timely gynecological examination for early diagnosis and timely treatment. Some scholars believe that the longer the vaginal bleeding in elderly women, the greater the possibility of malignant tumors. ； And those who bleed a lot are suffering from evil sexually transmitted diseases The possibility of bleeding is 4 times higher than that of a person with a small amount of bleeding, so it should not be taken lightly. Lower body bleeding in elderly women sometimes does not originate from the reproductive system. For example, urinary tract infection may cause blood in the urine. constipate It may cause anal fissure or hemorrhoid bleeding, and intestinal tumors may also cause bleeding in the early stages, so it is also important to understand the source of the blood.
　　
　　If it is determined to be a gynecological disease or a malignant tumor, surgical treatment is often required. ； For benign diseases, targeted drug treatment will be given. The principle of traditional Chinese medicine in treating vaginal bleeding in elderly women is to first identify whether the condition is benign or malignant. For benign diseases, it is necessary to comprehensively analyze the amount, color, quality and smell of bleeding, combined with other symptoms and systemic conditions of the patient, and divide the disease into different symptoms of deficiency and excess, and provide syndrome differentiation medication. ； For malignant diseases, comprehensive treatment including surgery, radiotherapy, and chemotherapy is adopted to improve the efficacy. In terms of syndrome differentiation, symptoms such as excessive bleeding, pale color, balanced quality, fatigue, shortness of breath, laziness, and empty lower abdomen are symptoms of qi deficiency. If the amount of bleeding is not large, the color is bright red, and the texture is thick, and symptoms include soreness in the waist and legs, dry throat, dry mouth, vaginal dryness, burning pain, or vaginal itching, it is a syndrome of yin deficiency. On the basis of the above symptoms, if there is a large amount of leucorrhea with yellow color and odor at the same time, it means not only Yin deficiency, but also dampness and heat (or dampness poison), which is a combination of deficiency and syndrome. If the amount of vaginal bleeding is intermittent, the color is dark and there are lumps, and there is pain in the lower abdomen that refuses to be pressed, or there is a mass in the lower abdomen, it belongs to blood stasis syndrome, which is a syndrome.