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Postmenopausal bleeding and its Homoeopathic Medicine
  •   Dr. Sujata Singh |
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  •   13-Jan-2021

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

  1. Lachesis
  2. Graphites
  3. 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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