I’m Dr.Ruby Sehra consultant gynecologist of Sehra medical center and head of department of balaji section behalf.
Today I’m just going to talk about post-menopausal bleeding. Post-menopausal bleeding means any abnormal bleeding once you finish your periods that means you have stopped having your periods but after six months you are again having bleeding, this is an abnormal bleeding. This can be cancerous or non-cancerous. It can be because of the just endometrium hypoplasia i.e. thickening of uterine lining or it can be because of the polyps i.e. the extra growth which could be cancerous or non-cancerous. I don’t think that you should take it lightly. The incidence you must be knowing that it is around every four to five women after fifty years of age. In one lac women are suffering from this cancerous abnormal uterine cancer. This cancer has become little less in incidence because of the early diagnosis. So, I suggest you to not ignore this symptoms of abnormal bleeding after 50 years or after your menopause and get yourself investigated the earliest possible. Immediately consult your doctor, get investigations done, get all the procedures small procedures done and get your surgery done. Because this is the only cancer which gives us an indications at an earliest age. If we don’t listen to it or if we don’t pay attention to it than we are going to land up in big complication. Endometrial cancer is thickening of the inner lining of the uterus that u can see here that this is the uterus this is the growth in the inside the cavity of uterus this can be here in the cavity or in the lower down.so, once you have abnormal bleeding the other symptoms can be that you are having a foul smelling discharge. Then the chances of having a cancer is high. If u have in your past have had high bleeding, PCOS or you had any estrogen dependent medicine taken and you have diabetes and you have a hypotension then you are all more at risk of a endometrial cancer. Once you had this cancer the myths are that it will go away, don’t worry about it…NO! This is the indication, god is giving you. Take an appropriate action at appropriate time so that you don’t land up in big complications. How?? You should go to the doctor that’s why the screening is done to know it earlier. Once you know it earlier that you have good chances of that you will not have any other problem. Once you had this problem then you should go to the doctor get your ultrasonography done to know how much thicken is your endometrium and you should get your pap smear done. If advice you may have to go your MRI undergo. If your endometrial thickening is more than 4 mm then it is definitely an indication to undergo a surgery. Surgery is quite easy and it’s just consist of total abdominal hysterectomy or laparoscopic hysterectomy with bilateral salpingectomy. But the total recovery period after laparoscopic hysterectomy is just a week or ten days and you go walking on the third day of surgery and you are self-sufficient and you can take care of yourself and you don’t need anybody’s help. But the only thing is that you have to be in time. In case, the cell, growth has spread in various adjacent organs then we have to for a bigger surgery. Once you gone to the doctor, got your DNC done, your hysteroscopy done and the ultrasound done. If the biopsy says that it is a cancer then you should get hysterectomy done immediately and without any delay. So as to get a good success rate of survival. Chemotherapy and other things are really painful so in case it is detected earlier then you will not have to undergo this chemotherapy and radiation and you will be taken completely care off.