Postmenopausal bleeding

...In order to diagnose the above-mentioned underlying diseases, in addition to general gynecological examinations, necessary tests such as pregnancy test, Douglas pouch puncture, basal body temperature measurement, hormone measurement in urine and blood, cytology (vaginal and uterine cavity), tissue biopsy, colposcopy (vaginal magnifying glass examination), ultrasound diagnosis (Doppler method and B-scope diagnosis), hysterosalpingography, hysteroscopy, CT scan, etc. are performed as appropriate.
[Postmenopausal genital bleeding]
In the case of postmenopausal bleeding, which is bleeding from the genitals after menstruation has ceased, small amounts of bleeding due to senile vaginitis are often seen in everyday clinical practice, but it is absolutely necessary to first consider the possibility of uterine cancer (cervical cancer, corpus cancer). In particular, as uterine body cancer (or endometrial cancer) has been increasing in recent years, it is necessary to perform uterine cavity cytology and endometrial tissue biopsy in addition to the vaginal and cervical cytology performed in regular uterine cancer screening.

*Some of the terminology that refers to "postmenopausal bleeding" is listed below.

Source | Heibonsha World Encyclopedia 2nd Edition | Information

…　上記の原因疾患を診断するためには，一般の産婦人科診察法などに加えるに，必要な検査として，妊娠反応，ダグラス窩穿刺（かせんし），基礎体温測定，尿中･血中のホルモン測定，細胞診(腟および子宮腔)，組織診，コルポスコピー(腟拡大鏡診)，超音波診断法(ドップラー法およびB‐スコープによる診断法)，子宮卵管造影法，子宮鏡診，CTスキャン等を適宜行う。
［閉経後の性器出血］
　月経がなくなったあとで性器から出血する閉経後性器出血postmenopausal bleedingの場合には，日常臨床上，老人性腟炎による少量の出血がしばしばみられるが，まず子宮癌(頸癌，体癌)の可能性を検討することが絶対に必要である。とくに近年，子宮体癌(または子宮内膜癌)が増加しているので，通常の子宮癌検診で行う腟･頸管細胞診に加うるに，子宮腔細胞診や子宮内膜組織診を行う必要がある。…

※「postmenopausal bleeding」について言及している用語解説の一部を掲載しています。

出典｜株式会社平凡社世界大百科事典 第２版について | 情報