POSTMENOPAUSAL BLEEDINGPOSTMENOPAUSAL BLEEDINGS.ArunprasathS.ArunprasathMED/09/10/17MED/09/10/17DefinitionDefinitionPostmenopausal bleeding is anyPostmenopausal bleeding is anyaginal bleeding t!at o""u#s afte# aginal bleeding t!at o""u#s afte# $% mont!s of ameno##!oea in a $% mont!s of ameno##!oea in a postmenopausal &omen 'postmenopausal &omen ' T!e age of menopause is T!e age of menopause is a#iable( but fo# most &omen it is a#iable( but fo# most &omen it is )$ yea#)$ yea#*auses of postmenopausal ute#ine *auses of postmenopausal ute#ine bleedingbleedingAtrophic vaginitis Atrophic vaginitis60-80% 60-80%Estrogen treatments Estrogen treatments15-25% 15-25%Polyp cervical uterinePolyp cervical uterine %+$%, %+$%,Endometrial yperplasia Endometrial yperplasia)+$-, )+$-,Enodometrial cancer Enodometrial cancer$-, $-,!o cause "ound !o cause "ound$-, $-,At#op!i" .aginitisAt#op!i" .aginitisIt is t!e most "ommon "ause ofIt is t!e most "ommon "ause of postmenopausal ute#ine bleeding postmenopausal ute#ine bleeding/+) yea#s afte# t!e menopause( %)+ /+) yea#s afte# t!e menopause( %)+)-, of &omen e0pe#ien"e)-, of &omen e0pe#ien"e symptoms due to at#op!i" aginitis'symptoms due to at#op!i" aginitis'