我正就绝经期症状接受激素治疗,但我的月经又来了。这是否正常?

回答 Tatnai Burnett, M.D.

某些形式的绝经期激素治疗可能导致每月一次出血。其中包括含有雌激素和黄体酮组合的循环激素治疗制剂。如果子宫完整,黄体酮有助于预防子宫患子宫内膜癌。

绝经期激素治疗可能导致轻度出血或如同正常月经的出血。如果出血让您担忧,请就医。

导致绝经后出血的其他原因可能包括:

  • 雌激素减少导致阴道和子宫内膜组织变薄
  • 子宫息肉
  • 子宫感染,例如子宫内膜炎或宫颈炎
  • 子宫内膜异常生长(子宫内膜增生)
  • 子宫内膜癌

除了讨论病史以及进行体检,医生还可能安排实验室检查或诊断性操作,以确定绝经后异常出血的病因。

With

Tatnai Burnett, M.D.

Women’s health topics - straight to your inbox

Get the latest information from our Mayo Clinic experts on women’s health topics, serious and complex conditions, wellness and more. Click to view a preview and subscribe below.

To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt out of email communications at any time by clicking on the unsubscribe link in the email.

Jan. 11, 2023 See more Expert Answers