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Endometrial atrophy, uterine fibroids, and endometrial cancer are common causes of postmenopausal vaginal bleeding. About 10% of cases are due to endometrial cancer. [ 35 ] Uterine fibroids are benign tumors made of muscle cells and other tissues located in and around the wall of the uterus . [ 36 ]
An endometrial polyp or uterine polyp is a mass in the inner lining of the uterus. [1] They may have a large flat base or be attached to the uterus by an elongated pedicle (pedunculated). [2] [3] Pedunculated polyps are more common than sessile ones. [4] They range in size from a few millimeters to several centimeters. [3]
Cancers of the vagina or fallopian tubes are rare causes of hemorrhage. Uterine fibroids represent a common, benign condition that may lead to bleeding, specifically if the lesion affects the uterine cavity. Polyps of the uterine lining are a common cause of bleeding, but such bleeding tends to be light.
Hysterectomy is a surgical procedure consisting of the full removal of the uterus, and can include the removal of fallopian tubes (otherwise known as the uterine tubes), cervix and ovaries. [ 69 ] In the UK the use of hysterectomy for heavy menstrual bleeding has been almost halved between 1989 and 2003. [ 70 ]
The underlying causes may include ovulation problems, fibroids, the lining of the uterus growing into the uterine wall, uterine polyps, underlying bleeding problems, side effects from birth control, or cancer. [3] More than one category of causes may apply in an individual case. [3] The first step in work-up is to rule out a tumor or pregnancy.
Bleeding from hemorrhoids and vulvar lesions can be mistaken for postcoital bleeding. [4] Post coital bleeding can occur with discharge, itching, or irritation. This may be due to Trichomonas or Candida. [13] A lack of estrogen can make vaginal tissue thinner and more susceptible to bleeding. Some have proposed that birth control pills may ...
[4] Besides the aforementioned physiologic forms, IMB may also represent abnormal uterine bleeding and be a sign of an underlying disorder, such as a hormone imbalance, endometriosis, uterine fibroids, uterine cancer, or vaginal cancer. [citation needed] If the bleeding is repeated and heavy, it can cause significant iron-deficiency anemia.
Lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, irregular menstruation [1] Complications: Infertility, ectopic pregnancy, chronic pelvic pain, cancer [2] [3] [4] Causes: Bacteria that spread from the vagina and cervix [5] Risk factors: Gonorrhea, chlamydia [2] Diagnostic method