Post-menopausal bleeding

Question 1

What is post menopausal bleeding?

Answer 1

Any bleeding that occurs 12 months after menopause/last period

Question 2

Name 7 causes of endometrial cancer

Answer 2

1. Endometrial cancer
2. Ovarian cancer
3. Cervical cancer
4. Cervicitis
5. Cervical polyp
6. Endometrial polyp
7. Atrophic vaginitis

Question 3

How do you diagnose the cause of Post menopausal bleeding?

Answer 3

1. History + exam
2. TVS to check endometrial thickness if its >4mm hysteroscopy + biopsy indicated
3. Smear if indicated
4. Hysteroscopy + biopsy