This type of bleeding can be due to a wide range of causes. It can be caused by Ulcers caused by a pessary that has been left behind or by decibutus ulcers in the procidentia. Inflammatory causes like a urethral caruncle, tuberculosis of vagina, cervix or uterus, syphilitic ulcer of the vagina and cervix, senile vaginitis or senile endometritis. Benign growths like cervical polyps, a large benign ovarian neoplasm and uterine myomata and sarcomata. Malignant growths like carcinoma of the endometrium or cervix and cancer of the ovaries, vagina, vulva or fallopian tubes.
Treatment is based on the cause of the bleeding.
If there appears to be no cause, a Dilation and Curettage is done. If the bleeding recurs, a hysterectomy with a bilateral salpingectomy may be advised. This condition may be hereditary. The ovarian failure may also be caused by an autoimmune disorder that is secondary to rheumatoid arthritis. Another cause is an inflammatory reaction due to a mumps infection, which could affect the ovaries.