Do all cases of postmenopausal bleeding require curettage?
Disease description:
My mother has been postmenopausal for several years, but she suddenly experienced bleeding. I heard from others that curettage treatment may be needed. I would like to know whether all postmenopausal bleeding requires curettage?
Doctor's answer (1)
Dr. Zhang Lu
Postmenopausal bleeding does not necessarily require curettage in all cases. Whether curettage is needed depends on the specific situation.
There are many causes of postmenopausal bleeding, such as endometrial cancer, cervical cancer, senile vaginitis, endometritis, endometrial polyps, and uterine fibroids. For women experiencing postmenopausal bleeding, a comprehensive gynecological examination should be conducted first, including pelvic examination, ultrasound, and cervical cytology. If the ultrasound shows a normal endometrial thickness with homogeneous echogenicity, and the patient has no obvious intrauterine space-occupying lesions or other high-risk factors such as obesity, hypertension, or diabetes, curettage may not be necessary, and the condition could be managed with medication or other non-surgical treatments. However, if the ultrasound reveals abnormal endometrial thickening or other suspicious lesions, or if there is persistent or heavy bleeding, the physician may recommend diagnostic curettage to obtain tissue samples for pathological examination to determine the cause of the bleeding.
The management of postmenopausal bleeding should be determined based on individual circumstances and cannot be generalized. When postmenopausal bleeding occurs, it is recommended to seek timely medical attention for diagnosis and treatment by a qualified physician.
