What Causes Vaginal Bleeding in Elderly Women?
Elderly vaginal bleeding can be caused by diseases such as senile vaginitis, endometritis, and endometrial polyps.
Senile Vaginitis: Senile vaginitis is commonly seen in elderly women after menopause. Due to decreased ovarian function, reduced estrogen levels, vaginal wall atrophy, thinning of the mucosa, decreased glycogen content in epithelial cells, increased vaginal pH, and decreased local resistance, pathogenic bacteria are prone to invasion and reproduction, causing inflammation. The main symptoms include increased vaginal secretions, pruritus vulvae, burning sensation, sometimes superficial ulceration, and in severe cases, vaginal bleeding.
Endometritis: Endometritis refers to inflammatory changes in the endometrial structure caused by various factors. Bacteria can reach the endometrium through the vagina, cervix, fallopian tubes, and lymphatic system. Patients may experience mild fever, lower abdominal pain, and in severe cases, elderly patients may have vaginal bleeding.
Endometrial Polyps: Endometrial polyps are a common gynecological disease caused by localized hyperplasia of the endometrium, manifesting as single or multiple smooth masses protruding into the uterine cavity with varying stalk lengths. It can lead to irregular vaginal bleeding and infertility. Although this condition rarely occurs in the elderly, it still exists.
In addition to the above factors, malignant tumors of the reproductive organs may also cause vaginal bleeding in the elderly. Patients should seek medical attention promptly for a definitive diagnosis and targeted treatment.
