GynecologyGynecologyГинекология2079-56962079-5831Consilium Medicum5085810.26442/20795696.2020.5.200419REVIEWОБЗОРReview ArticleVaginal bleeding during menopause hormone therapy. Is it always endometrial cancer? How to choose the appropriate tactics for examination and management of patients?Кровотечение из половых путей на фоне менопаузальной гормональной терапии. Всегда ли это рак эндометрия? Как выбрать правильную тактику обследования и ведения пациентов?https://orcid.org/0000-0001-7930-8048ProtasovaAnna E.ПротасоваАнна Эдуардовна
Russian Federation

D. Sci. (Med.), Prof., Saint Petersburg State University, Mechnikov North-Western State Medical University, Almazov National Medical Research Centre

д-р мед. наук, проф. каф. онкологии ФГБОУ ВО СПбГУ, проф. каф. онкологии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова», ФГБУ «НМИЦ им. В.А. Алмазова»

protasova1966@yandex.ruhttps://orcid.org/0000-0002-2692-2156SolntsevaIrina A.СолнцеваИрина Александровна
Russian Federation

Cand. Sci. (Med.), Mechnikov North-Western State Medical University

канд. мед. наук, доц. каф. лучевой диагностики и лучевой терапии ФГБОУ ВО «СЗГМУ им. И.И. Мечникова»

protasova1966@yandex.ruhttps://orcid.org/0000-0001-9878-3338VandeevaEkaterina N.ВандееваЕкатерина Николаевна
Russian Federation

Cand. Sci. (Med.), Almazov National Medical Research Centre

канд. мед. наук, ассистент каф. акушерства и гинекологии ФГБУ «НМИЦ им. В.А. Алмазова»

protasova1966@yandex.ruAlmazov National Medical Research CentreФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава РоссииMechnikov North-Western State Medical UniversityФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииSaint Petersburg State UniversityФГБОУ ВО «Санкт-Петербургский государственный университет»2311202022537432211202022112020Copyright ©; 2020, Consilium MedicumCopyright ©; 2020, ООО "Консилиум Медикум"2020Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://gynecology.orscience.ru/2079-5831/article/view/50858

The article provides an overview of the possible causes of bleeding from the genital tract in peri- and postmenopausal women. The correct approach to patients with abnormal uterine bleeding during menopausal hormone therapy is described. A modern analysis of data on the diagnosis and treatment of postmenopausal vaginal bleeding against the background of menopausal hormone therapy was carried out. The modern possibilities of endometrial diagnostics and treatment are shown.

В статье представлен обзор возможных причин кровотечения из половых путей в постменопаузе. Описан правильный подход к пациенткам с аномальными маточными кровотечениями на фоне менопаузальной гормональной терапии. Произведен современный анализ данных о диагностике и лечении постменопаузального вагинального кровотечения на фоне менопаузальной гормональной терапии. Показаны современные возможности диагностики и лечения патологии эндометрия.

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