Sclerosis of the uterine arteries and climacteric bleeding

Opinions differ about the pathological causes of menopausal bleeding; there are no exact data in the literature. In most cases, these bleeding is linked to endometrial inflammation. In many cases, such inflammation occurs, in no fewer cases, after curettage of the uterus, a healthy mucous membrane is obtained. With such a negative result, the cause of bleeding is sought in chronic metritis, especially when the uterus is slightly enlarged. For some cases this explanation is true, for others it is not. In the latter category of cases, there is often a disease of the vessels themselves, which prevents them from contracting. Such cases, taken from private practice and the Leopold's Clinic, are being discussed.