Postmenopausal bleeding and its Homoeopathic Medicine
Bleeding per vagina following established menopause is called postmenopausal bleeding.
The significance of postmenopausal bleeding, whatever slight it may be, should not be under estimated. As many as one third of the cases are given to those cases where normal menstruation continue even beyond the age of 55 years.
Cause
The cause of premenopausal bleeding are:
Senile endometritis
Atrophic endometrium
Endometrial hyperplasia
Dysfunctional uterine bleeding
Genital malignancy ( carcinoma of cervix, endometrium, vagina, vulva, fallopian tube
Uterine polyp
Tubercular endometritis
Senile vaginitis
Decubitus ulcer
Retained and forgotten foreign body such as pessary or IUCD
Withdrawal bleeding from oestrogen intake
Urethral caruncle, polyp, prolapse mucosa or carcinoma
Unknown in about 25 %.
The incidence however decrease with wider use of hysteroscopy.
Investigation
Detailed history of regarding
Age of menopause
Menstrual pattern prior to menopause
Amount of bleeding, number of episodes
Sensation of something coming out of the Introitus.
Intake of oestrogen- even if the history of intake is present, full investigation should be carried out to exclude malignancy.
Family history of endometrial and ovarian carcinoma
Specifical investigation
Ultrasound
Endometrial biopsy
Fractional biopsy
Laparoscopy
CT and MRI
Speculum examination.
Treatment
In case of recurrence or continued bleeding whatever may be the amount, it is better to proceed for laparotomy and to perform hysterectomy with bilateral salpingo- oophorectomy.
Unexpectedly, one may find a pathology either in the ovary or fallopian tube or else an uterine polyp- benign or malignant may be evident in the removed uterus.
Homoeopathic Medicine for postmenopausal bleeding
- Lachesis
- Graphites
- Sepia
The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.
Don't take homoeopathic medicine without any prescription / without any advise of physician.
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