INTRODUCTIONWHO defines menopause as permanent cessation of menstruation resulting from loss of ovarian activity. 1 Postmenopausal bleeding (PMB) is defined as abnormal uterine bleeding occurring after 1 year of menopause. Common menopausal age in Indians is 45-50 years. Postmenopausal women constitute only 1% of female population. Postmenopausal bleeding represents one of the most common reasons for referral to gynaecological services, largely due to suspicion of an underlying endometrial malignancy.2 A woman not taking hormone replacement therapy (HRT) who bleeds after the menopause has a 10% risk of having genital cancer and a further 10% risk of significant pathology.3 Therefore, postmenopausal bleeding should always be investigated no matter how minimal or non-persistent.Etiology of post-menopausal bleeding include: nongynaecological causes like trauma or a bleeding disorder, use of hormone replacement therapy, vaginal atrophy, endometrial hyperplasia (simple, complex, and atypical), endometrial carcinoma usually presents as PMB but 25% occur in premenopausal women. Other causes include endometrial polyps or cervical polyps, carcinoma of
Results:The commonest finding of pelvic USG was increased endometrial thickness (>4mm) (80%). The histopathological analysis showed proliferate endometrium (36.3%), atrophic endometrium (16.6%), cystoglandular hyperplasia (10%) and endometrium hyperplasia (6.6%). Incidence of cervical and endometrial carcinomas was 10% and 6.6%, respectively. Conclusion: the postmenopausal bleeding is an important symptom and requires careful and timely assessment to eliminate the possibility of malignancy as soon as possible.