Post-Menopausal Bleeding Flashcards
1
Q
Definition
A
Vaginal bleeding occurring after 12 months of amenorrhoea.
2
Q
Aetiology
A
- Vaginal atrophy = MOST COMMON
- HRT
- Endometrial hyperplasia
- Endometrial cancer
- Other gynaecological cancers
- Trauma
- Bleeding disorders
3
Q
Women over 55 years with postmenopausal bleeding should have…
A
A transvaginal US for endometrial cancer within 2 weeks.
4
Q
Treatment
A
Treat the cause:
- Vaginal atrophy = topical oestrogens and lifestyles changes
- Due to HRT = change HRT preparations
- Endometrial hyperplasia = dilatation and curettage
