Postmenopausal bleeding and endometrial cancer

Abstract

Postmenopausal bleeding is a common presentation in primary care. There is great emphasis placed on rapid referral for investigation to exclude endometrial malignancy, and it is the most common symptom for which women are referred to gynaecological rapid access clinics. However, it is widely accepted that only approximately 10% of patients at a postmenopausal bleed clinic will have cancer. Endometrial cancer is now often easily treatable with laparoscopic surgery, and certain pre-malignant changes can be managed with an intrauterine system, so it is important to deal with this common presentation effectively, while also knowing about the frequent causes.

A prospective study on evaluation of post-menopausal bleeding among women from rural area attending a tertiary care teaching hospital

“…However, unfortunately, like cervical cancer, there are no useful screening tests available for early detection of endometrial cancer [7] . The first evident symptom in almost all cases of endometrial cancer is PMB, which provokes women to seek medical help and getting detected at early stages of endometrial cancer [8] . In our country, a larger population, i.e.…”

Postmenopausal bleeding among rural women in Tamil Nadu, India: Mixed methods study

“…[ 7 ] The first evident symptom in almost all cases of endometrial cancer is PMB, which provokes women to seek medical help and getting detected at early stages of endometrial cancer. [ 8 ] Hence, the identification of PMB in community setting provides an opportunity to detect these women at early stages of these cancers.…”