Postmenopausal Vaginal Bleeding after Infesting with Leeches


avatar roghaieh rahmani bilandi 1 , avatar Azamsadat Mahmoudian 2 , * , avatar Arash Hamzei 3

Department of Midwifery, Faculty of Nursing and Midwifery, Gonabad University of Medical Science, Gonabad, Iran
Department of Obstetrics and Gynecology, Gonabad Medical University, Gonabad, Iran
Department of Anesthesiology, Gonabad Medical University, Gonabad, Iran

how to cite: rahmani bilandi R, Mahmoudian A, Hamzei A. Postmenopausal Vaginal Bleeding after Infesting with Leeches. Zahedan J Res Med Sci. 2012;14(4):e93503.


Diagnosis and therapeutic measures are immediately taken for abnormal postmenopausal vaginal bleeding, because its causes range from atrophic endometrium to malignancy. In this paper, abnormal bleeding is reported due to leech infection. The patient is a 69-year-old woman who has reached menopause for 12 years and has visited a physician because of vaginal bleeding. The patient had no history of abnormal bleeding or medication. The patient first refused to get hospitalized and continue medical care, but she finally accepted to take diagnostic and therapeutic procedures after a few times of visit and increased bleeding. During general anesthesia and upon opening vagina, a large hemorrhagic and moving mass was observed at the upper posterior vaginal wall which was removed with surgical forceps. Surprisingly, this mass was a leech. Bleeding at the leech’s junction was stopped after half an hour using sterile gas and the patient was discharged on the next day.


The full text of this article is available on the PDF file.


  • 1.

    The References of this article are available on the PDF file.

© 2012, Zahedan Journal of Research in Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.