Premenopausal menorrhagia/ postmenopausal bleeding

A) Premenopausal menorrhagia:
It means heavy menstrual bleeding or prolonged duration of menstruation before menopause. Menopause means the life period between 49-52 years of the women when menstruation ceases.
B) Postmenopausal bleeding:
A post menopausal woman may have a single harmless uterine bleeding after stopping of the menstrual periods for more than a year which is explained by the following causes:
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- Single ovulation: This can happen once so if it occurs you shouldn’t get panic as most probably this will not happen again.
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- Postmenopausal woman which take hormonal therapy: The combination of estrogen and progesterone hormones in the therapy results in bleeding for several months from starting it.
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- Age-related thinning of uterine lining or vaginal tissues due to decreasing of estrogen hormone level.
- Thickened uterine lining: The medical term is ‘endometrial hyperplasia’ which could turn into cancer uterus later on.