Evaluation of Endometrium in Postmenopausal bleeding women

Background: Postmenopausal bleeding (PMB) is one of the most frequent reasons for referral to gynecologist. Objective: To investigate the clinical implication and endometrial pathological changes in patients with postmenopausal bleeding. Methods: A prospective study conducted on postmenopausal women. About 130 patients (aged between 50-60 years) with postmenopausal bleeding were selected and these patients were evaluated by curettage, pelvic ultrasound and endometrial histology. Results: The commonest finding of pelvic USG was increased endometrial thickness (>4mm) (75%). The histolopathological analysis showed proliferate endometrium (31.6%), atrophic endometrium (26.1%), cystoglandular hyperplasia (12.3%) and endometrium hyperplasia (10.6%). Incidence of cervical and endometrial carcinomas was 6.3% and 4.5%, respectively. Conclusion: the postmenopausal bleeding should be careful and timely assessed to eliminate the possibility of malignancy as soon as possible.