Postmenopausal bleeding and its evaluation: Prospective study in a tertiary care center

Abstract

Objective: To study the prevalence of postmenopausal women in the urban population, its clinical presentation, histopathology incidence of malignancy. Method and material: A prospective study performed in ESIC medical college, Bangalore, over 50 women. When women presented to the outpatient with complain of postmenopausal bleed there was enrolled in the study. Patient’s demographic data were collected, the pap and endometrial HPE were studied. Results: The average age of menopause was 50 years. The histopathological analysis showed proliferative endometrium (16%), secretory endometrium (10%), atrophic endometrium (14%), simple hyperplasia (10%), complex hyperplasia with atypia (8%), endometrial polyp (4%) and cervical polyp in (4%). Squamous cell cervical carcinoma (10%) endocervicitis (14%) of the population and endometrial malignancy in (4%) no opinion were given in (6%). Conclusion: Postmenopausal bleeding is a sinister complaint among the elderly women. It needs a complete history, clinical examination and investigations to detect the cases of malignancy at a earlier date. High-risk women like nulligravida, obesity, diabetes, has to be considered as special case and extensively investigated to rule out malignancy. Keywords: Post-menopausal bleeding, endometrial thickness, endometrial carcinoma, cervical carcinoma, histopathology