I am a 52 years old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from last 15 years. After consulting many experts, we got three views, first is to carry out a biopsy and D and C, in the absence of malignant cancer, then we do not need to opt for hysterectomy (even with the endometrial thickness of 9 mm). Second, is to remove the uterus and the cervix, but keep the ovaries, as ovaries still produce 20 to 30% of the required hormones even after menopause. Third, is to remove the uterus and ovaries altogether and carry out the biopsy through frozen section at the time of TLH. Which is the best option, and why? What happens to hormone productions (even if it is 20 to 30%) after removal of ovaries? If ovaries are removed, do we have to get HRT? I have enclosed an ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, MRI of the pelvis, and blood reports.