Swanner Keana-Kelley D, Richmond Larry B
Medicine, Alabama College of Osteopathic Medicine, Dothan, USA.
Obstetrics and Gynecology, Regional Medical Center, Anniston, USA.
Cureus. 2023 Sep 6;15(9):e44792. doi: 10.7759/cureus.44792. eCollection 2023 Sep.
Menopause is a universal occurrence in a woman's life where menstruation ceases, with an average age of 51.4 years in the United States. Late-onset menopause is defined as menopause after age 55. A thorough PubMed search revealed that there are currently no records of extended cycles through the entirety of a woman's geriatric years. A 65-year-old G2P2 Caucasian woman was admitted to the emergency department (ER) with a possible cerebrovascular accident. During admission, it was noted that the patient had vaginal bleeding. CT scan revealed a large fibroid, and ultrasound revealed an extremely thin endometrium, excluding endometrial pathology. Gynecology was consulted for post-menopausal bleeding, but in interviewing the patient, she was not surprised at her bleeding. Her LH and FSH levels were low, in the premenopausal range. This is a cautionary tale of an appropriate workup, and the importance of taking a gynecologic history, in the geriatric population.
绝经是女性生命中的普遍现象,此时月经停止,在美国平均年龄为51.4岁。晚发性绝经定义为55岁之后的绝经。全面的PubMed检索显示,目前尚无关于女性老年期整个阶段月经周期延长的记录。一名65岁、孕2产2的白人女性因可能发生脑血管意外被收入急诊科。入院期间,注意到该患者有阴道出血。CT扫描显示有一个大的纤维瘤,超声显示子宫内膜极薄,排除了子宫内膜病变。因绝经后出血咨询了妇科,但在询问患者时,她对自己的出血并不感到惊讶。她的促黄体生成素(LH)和促卵泡生成素(FSH)水平较低,处于绝经前范围。这是一个关于老年人群适当检查以及获取妇科病史重要性的警示故事。