What is the most common cause of dysfunctional uterine bleeding in a post menopausal woman?
Exogenous estrogens and or progesterone ( hormonal replacement therapy)
The most common cause of dysfunctional uterine bleeding in a post-menopausal woman is endometrial atrophy. This is due to the decreased levels of hormones, specifically estrogen, that occur during menopause. The lack of estrogen causes the endometrial lining of the uterus to thin and become less proliferative. This can lead to irregular bleeding or spotting in the postmenopausal period and should be evaluated by a healthcare professional to rule out other potential causes such as endometrial cancer. It is important for postmenopausal women to continue to receive regular gynecological exams even if they are no longer having menstrual periods.
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