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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Answered by Dr. Jain Padmesh Satishchand

Education:

MBBS

Professional Bio:

Dr. Jain Padmesh Satishchand is a skilled General Practitioner with additional expertise in Radiodiagnosis and Radiology. He provides comprehensive primary care while integrating advanced diagnostic skills to support accurate treatment decisions. Dedicated to patient-centered care, Dr. Satishchand focuses on both preventive health and effective management of medical conditions, ensuring holistic well-being through precise evaluation and compassionate medical support.

This doctor is not available for online consultations on the platform anymore.

Hi,

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.
Medically reviewed by iCliniq medical review team
Published At November 18, 2022
Reviewed At October 10, 2023

Education:

MBBS

Professional Bio:

Dr. Jain Padmesh Satishchand is a skilled General Practitioner with additional expertise in Radiodiagnosis and Radiology. He provides comprehensive primary care while integrating advanced diagnostic skills to support accurate treatment decisions. Dedicated to patient-centered care, Dr. Satishchand focuses on both preventive health and effective management of medical conditions, ensuring holistic well-being through precise evaluation and compassionate medical support.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Jain Padmesh Satishchand is a skilled General Practitioner with additional expertise in Radiodiagnosis and Radiology. He provides comprehensive primary care while integrating advanced diagnostic skills to support accurate treatment decisions. Dedicated to patient-centered care, Dr. Satishchand focuses on both preventive health and effective management of medical conditions, ensuring holistic well-being through precise evaluation and compassionate medical support.

This doctor is not available for online consultations on the platform anymore.

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