Clinicopathologic Evaluation of Postmenopausal Bleeding at a Tertiary Care Center

Abstract

Ab s t r Ac t Aim: The aim of the study was to evaluate the various causes of postmenopausal bleeding and incidence of various genital tract malignancies contributing to postmenopausal bleeding. Study design: Prospective interventional study. Place and duration of study: Kanyakumari Government Medical College Hospital, Asaripallam, from January 2017 to December 2017. Materials and methods: All women attending the gynecology outpatient department with complaints of postmenopausal bleeding during the study period were included in the study. History, clinical examination, and USG pelvis were done in all cases. CT, MRI abdomen, and pelvis were done for indicated cases. Hysteroscopically directed endometrial evaluation and sampling were done for all, except carcinoma cervix, carcinoma vulva, and carcinoma vagina. Results: Of the 62 cases, 30 cases were benign, 32 cases were malignant. The most common cause of postmenopausal bleeding was a carcinoma cervix followed by an atropic endometrium. Conclusion: Postmenopausal bleeding should be thoroughly evaluated and treated since there is a higher incidence of malignant etiology.