I took a transvaginal ultrasound to diagnose my postmenopausal symptom of light bleeding. What does the scan reveal?

Q. What could cause a 62-year-old woman to have light bleeding after attaining menopause?

Answered by
Dr. Jain Padmesh Satishchand
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 18, 2022 and last reviewed on: Dec 01, 2022

Hi doctor,

I have attached images from transvaginal ultrasound that I would like you to interpret. I ordered this examination because I noticed light bleeding. I am a postmenopausal women of 62 years old.



Welcome to icliniq.com.

I went through the images (attachment removed to protect the patient's identity) you provided along with your medical history.

For your age and post-menopausal status, the endometrium (inner lining of the uterus, which one bleeds during menstruation) is relatively thickened. It shows cystic changes within the endometrium (for the post-menopausal state, the endometrial thickness is about three to four mm or even less. Yours is about 9.7 mm).

As you had an episode of post-menopausal bleeding, it is imperative to rule out endometrial cancer, for which a fractional endometrial curettage or biopsy followed by histopathological examination is necessary.

I hope and pray that your report turns out to be negative.

Best wishes.

Investigations to be done:

The investigations include fractional endometrial curettage or biopsy followed by histopathological examination.

Regarding follow up:

Do follow up with reports.

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