POST MENOPAUSAL BLEEDING

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Abstract

Objective: To find out the causes of postmenopausal bleeding and their correlation with medical
illness. DESIGN: Single centre, cross sectional study. Place and duration: The department of obstetrics and
gynaecology, Shaikh Zayed Postgraduate Medical Institute and hospital, Lahore from 1 August 2000 to 30 June 2002.
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Subjects and methods: All the patients with post menopausal bleeding diagnosed during the study periods were
included, except patients after hysterectomy and premature menopause. Relative informations were filled in a Performa
and informations were taken from case records. Results: Total 50 patients were included in the study. Maximum
number of patients with postmenopausal bleeding were between 56-60 years (32%). Most of the patients were having
parity between 4-6 (48%). Majority of patients (32%) had symptom about 10 years after menopause. Hypertension,
diabetes and obesity were commonly found medical illness in these patients, especially when cause is endometrial
carcinoma, ultrasound scan, Pap smear and endometrial biopsy are essential to rule out cause of post menopausal
bleeding. 70% patients were having benign cause while 30% patients had malignant cause for post menopausal
bleeding. Conclusion: Carcinoma of genital tract is one of the most important cause of postmenopausal bleeding, so
early detection of the cases can be life saving. Detailed medical evaluation, aid of ultrasonography, Pap smear and
endometrial biopsy is required to find the cause of postmenopausal bleeding.