三年没来例假,我以为自己已经绝经了。但在上个月,我又来例假了。我今年 50 岁。我是不是出现了什么问题?

回答 Tatnai Burnett, M.D.

绝经意味着以后都不会来月经且不能怀孕了。当您 12 个月没来月经时,就可以视为已进入绝经期。

在绝经后发生阴道出血是不正常的。您应尽快就医并接受检查,或者去看妇科医生(即在女性生殖器官疾病诊断和治疗方面接受过特别培训的医生)。

这种类型的出血也称为绝经后阴道出血。可能的病因有:

  • 子宫癌、宫颈癌或阴道癌
  • 子宫或阴道内膜组织较薄
  • 子宫肌瘤或子宫息肉,即子宫内有非癌组织生长
  • 子宫内膜感染
  • 激素治疗(他莫昔芬或其他药物)
  • 损伤、性侵或伴侣虐待
  • 邻近身体部位(例如泌尿道或直肠)出血
  • 子宫内膜增生,即子宫内膜过度生长并变厚

出血可能是某些无害的原因所致,也可能是某些严重问题导致。因此,您务必要尽快去看妇科医生或其他医务人员以接受检查。

With

Tatnai Burnett, M.D.

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Dec. 07, 2022 See more Expert Answers