Postmenopausal vaginal bleeding commonly indicates:
A. Hormonal imbalance
B. Endometrial cancer
C. Endometriosis
D. Atrophic vaginitis
ANS: B
Abnormal uterine bleeding is much more common in the younger population, especially during the teen years when menstrual patterns are becoming established. Also, during the early reproductive years, malignancies are much less likely to be the cause. Most cases of dysfunctional uterine bleeding are due to organic causes and to dysfunction of the hypothalamic-pituitary-ovarian axis. Bleeding after menopause has been established is cause for concern, and referral for endometrial biopsy is a must.
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