Allocations in women with menopause: bloody, with a smell, brown, yellow, white, watery, abundant

Due to a decrease in the synthesis of sex hormones and follicular atresia of the ovaries, which are characteristic of the period of extinction of the genital function in women, vaginal discharge in menopause is reduced to a minimum.

[1], [2], [3], [4]

Causes of the excretions in menopause

Because of the physiologically determined atrophy of the vaginal mucosa in menopausal age, even the natural exit of the vaginal secret that protects the mucosa from infection stops. So, the presence of any secretions during the menopause speaks about some pathology and is the reason for turning to a gynecologist in order to avoid the development of inflammatory and oncological diseases of the pelvic organs that have serious consequences and dangerous complications.

Depending on the intensity and volume distinguish abundant secretions in menopause and meager or, as they are called, spotting with menopause.

So, what are the causes of excretion in menopause?

Minor watery discharge with an admixture of mucus (unpainted or yellowish) appears with vaginal dysbiosis and atrophic vaginitis (colpitis). Other symptoms of these conditions are itching in the genital area and burning with urination.

Bloody discharge in menopause may appear when:

• inflammation of the mucous membrane of the vagina (vaginitis);
• inflammation of the cervix (cervicitis);
• dysplasia of the cervix;
• polyps of the cervix or uterus;
• ovarian cyst with menopause;
• primary or metastatic vaginal cancer (which causes abundant discharge during menopause);
• cervical cancer;
• endometriosis with menopause;
• cancer of the mucous membrane (endometrium) of the uterus.

Brown spotting with menopause - possible first signs of endometrial hyperplasia or uterine fibroids.

Pink discharge in menopause, which physicians call the prenatal discharge in menopause, indicate the release of lymph fluid from the small vessels of the intravesical lymphatic system of the uterus when they are damaged. Pregnant exudate acquires a pink tint due to the content of red blood cells, which get into it from damaged tissues. Allocations of this nature - with painful sensations in the lower abdomen and in the small pelvis - are noted in severe dysplasia of the cervix, a benign tumor - the myoma of the uterus in menopause; polyps of the uterus and malignant tumors of the uterus (including metastatic). It should be borne in mind that the pathogenesis of these diseases of the female sexual sphere can be associated not only with the presence of hereditary predisposition, but also with the irrational use of hormonal drugs, often used recently to reduce the unpleasant manifestations of the oncoming menopause.

Mucous white discharge in menopause (especially foaming, with an unpleasant smell) is a symptom of the defeat of the genital organs of Chlamydia trachomatis and the development of such sexually transmitted infection as chlamydia.

Dense (with an admixture of purulent exudate) white discharge in menopause, accompanied by itching on the eve of the vagina, burning and pain in the urethra, appear with gonorrhea. And with bacterial and trichomonadic vaginitis, purulent form of cervicitis and endocervicitis (inflammatory process in the cervical canal), mucopurulent yellow discharge is indicated in menopause. Also, such discharge is one of the symptoms of cervical erosion with the attachment of infection - staphylococci, streptococci, ureaplasma or mycoplasma.

When the abundant secretions in menopause resemble cottage cheese and have a distinctive acidic odor, and they are accompanied by such symptoms as severe irritation and itching of the genitals, burning with urination, this is a well-known fungal disease of candidiasis (thrush).

In addition to vaginal, in menopause, there may be discharge from the breast (usually with pressure on the nipples). Doctors-mammologists associate them with diffuse changes of the parenchyma of the mammary glands, in particular, with periductal fibroadenoma or hard fibrosis. With these mastopathies, chest painless seals of different sizes and locations are formed. See - Fibrosis of the breast.

Colorless discharge from the nipple can appear with the lipoma of the mammary glands, that is, the involutive replacement of the glandular fat tissue.

[5], [6], [7], [8], [9], [10], [11]

Diagnostics of the excretions in menopause

Diagnosis of excretions in menopause begins with anamnesis and fixing complaints of the patient. Then a gynecological examination is performed, and the mammalian doctor performs a palpation examination of the mammary glands.

The main analyzes consist of:

• general and biochemical blood tests;
• blood test for STD pathogens;
• blood test for the content of estradiol, testosterone and other hormones;
• analysis on CA125 (ovarian cancer marker);
• smear from the vagina on a bacterial microflora;
• Pap test (a Pap smear from the cervix);
• smear for the presence of HPV (human papillomavirus);
• biopsies of the cervix (or uterus).

A standard instrumental diagnosis includes: vaginal endoscopy (colposcopy); transvaginal ultrasonography (ultrasound); mammography (x-ray of the mammary glands) and ultrasound of the mammary glands.

[12], [13], [14], [15]

Differential diagnosis

Based on the results of the examination, laboratory tests and instrumental examination, differential diagnostics is performed and the exact cause of excretions in menopause is determined.

Treatment of the excretions in menopause

What is the treatment for excretion in menopause? On the reason for their appearance. This means that inflammation should be treated and anti-inflammatory drugs used. Although in some cases, drugs containing analogues of female sex hormones are used.

For example, with atrophy of the vaginal mucosa, vaginal suppositories of Ovestin (Estriol) can be prescribed - one suppository per day. However, with bloody discharge and malignant neoplasms, this remedy is contraindicated. In addition, its side effects can increase irritation and burning of the vaginal mucosa.

With vaginitis and cervicitis are used bactericidal anti-inflammatory suppositories Betadine, Hexicon, Chlorhexidine; vaginal suppository and Metronidazole tablets; phytospeces Eucalyptin (with eucalyptus extract) and Vagical (with extract of calendula); vaginal gelatin capsules with antibiotics.

Effective remedy for vaginal candidiasis - suppository against fungus Nystatin and Pimafucin); Inwardly appointed antifungal agent Fluconazole (Flucostat, Diflucan) - 1-2 capsules (once a day).

If the results of the HPV test showed the presence of papillomavirus, the antiviral vaginal suppositories Viferon or Genferon will be most helpful.

More useful information in the material - Suppositories from inflammation in gynecology

In cases of pathological discharge during menopause, homeopathy can help.

If there are yellow discharge in menopause, Argentum nitricum is recommended, and when bloody discharge is Kreosotum and Sulfuricum acidum.

When excretions caused by cervical dysplasia, use homeopathic drugs Thuja occidentalis or Beta-Mannan.

Surgical treatment involves cauterization of cervical erosion, electrical conization of damaged cervical tissue with its dysplasia, as well as surgical methods of treating malignant tumors (in combination with radiation and chemotherapy).

With significant fibrous formations and mammary gland cysts, surgical intervention is performed according to indications - lumpectomy or nucleation Treatment of discharge from the breast - more in article Fibroadenoma of the breast

Alternative treatment (tampons with honey or olive oil, sedentary baths and douching with various decoctions), many gynecologists consider ineffective, and in cases associated with malignant processes, delaying the timely access to medical care. Nevertheless, herbal treatment is widely practiced in everyday life. For example, see - Alternative treatment of cervical erosion

Prevention

Given the polytheological nature of excretions in menopause, their prevention is to prevent STDs and timely access to medical care.

[16], [17], [18], [19], [20], [21], [22], [23]

Forecast

And the prognosis depends on the cause, which causes pathological discharge during menopause. And, naturally, it will be different, for example, with thrush and cervical cancer.

[24], [25]