Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done, as you have postmenopausal spotting with a thickened endometrium of 9 mm, with an associated risk factor that is diabetes. This is required to rule out malignancy. Also, an antibiotic course should be given.
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