Wary Ahead of Menopause Bleeding - Endometrial Cancer
Period menopausal bleeding is not without problems . This condition is an early trip endometrial cancer . Then why older women are susceptible to this type of cancer ?
Endometrial
cancer is still not familiar to the public . Ear more popular women
with breast cancer , cervical cancer , or uterine cancer . Although
the likelihood of mortality or death rate of patients is smaller than
that of other cancers , endometrial cancer does not mean harmless .
When
the cervical cancer death rate fell by more than 50 % due to the
progress screening and early detection , the incidence of endometrial
cancer is the second in gynecologic malignancies . People with endometrial cancer each year continues to increase .
Based
on data from the RS Ciptomangunkusumo in 1994-2003 , the incidence of
endometrial cancer reaches 2.7 % of all gynecological cancers . While cervical cancer reached 75.5 % and 14.9 % of ovarian cancers .
In Southeast Asia , including Indonesia , the incidence of endometrial cancer was 4.8 % of 670 587 cases of cancer in women . Still below the 30.9 % of breast cancer , cervical cancer is 19.8 % , and 6.6 % of ovarian cancers . While the death rate in the United States doubled in 1988-1998 .
This
is due to a combination of increase in the possibilities of life and
increased rates of obesity are touted predisposing or precipitating the
disease . Endometrial cancer attacks the mucous membrane of the uterus and is often found in women 50-65 years of age group . Patients with endometrial cancer was rare in the age group below 40 years .
"
Risk factors for endometrial cancer are postmenopausal women who long
life expectancy . Increased disease is caused by the expected life
growing up due to the longer growing age also increases the risk , "
said Professor of Obstetrics Gynecology Fixed Sciences Faculty of
Medicine Prof. Dr. Nugroho Kampono , Sp OG ( K ) , after the inaugural ceremony became Professors Faculty of Medicine in Jakarta last weekend .
This triggers cancer associated with postmenopausal period is characterized by a decrease in the hormone estrogen . During
the reproductive period , the formation of the uterus followed by the
release of the uterine lining in every menstrual cycle .
Reduced estrogen levels at menopause lead no epithelial lining of the uterine cavity . However , a change in hormone androstenedione become estrogen through the fat should be discarded and arrested by the body .
As a result , increased estrogen and stimulate the mucous membrane of the uterus . Meanwhile , life expectancy in women obesity is also one risk factor for higher estrogen levels than lean women . Obesity is also associated with decreased levels of sex hormone binding globulin, which can increase estrogen levels .
In addition , diabetes and hypertension were also a trigger . Bleeding like a period every month is a symptom that accompanies , despite being entered menopause . Therefore , Nugroho advised to immediately see if there is bleeding when entering menopause .
"
Not only after menopause , before menopause also commonly known by the
premenopausal period also should be wary of , " he said . Abnormal bleeding caused by multiple factors and not necessarily cancer . It could be a vaginal infection and polyps in the womb . However, approximately 10 % -15 % of bleeding that occurred in the past due to endometrial cancer .
"
Similarly, in postmenopausal women who experience bleeding in large
amounts , duration , and frequency more often than usual . 'd Better see
a doctor immediately , " said obstetricians and obstetrics from the
Medical University of South Carolina William T Creasman .
Creasman
added , in addition there are some other symptoms of bleeding like
symptoms such as pelvic pain , bleeding in postmenopausal women , pain
during sexual intercourse , painful urination , feeling tired constantly
, until the lower abdominal pain or pelvic cramping .
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