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Detailed history Assessment of risk factors Full clinical examination Investigations: Routine Pap smear Appropriate biopsy Smear Cytology TVS HSG combined with TVS Saline sono-hysterography CT MRI (as required)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India
Benign conditions though most frequent and can cause considerable distress. Study: In Gynecology department, RIMS, a rural based tertiary center (Jan’10-July’12) patients, 1200 Pmb. Aim To exclude malignancy To confirm diagnosis To treat accordingly.
Para<=5: 513 (57 %) Low SES: 700 (78%) No circumcision: 555 (61.66%) belonging to Hindu community
50-54 yrsEndometrial (Em) yrs Endometrial (Em)
300(25%) in present study had malignant lesions. Community education, mass screening, regular follow up, timely intervention is necessary even with slight bleeding. Em. Thickness >4mm, bulky uterus considered malignant unless until proved..
QUESTIONS Thank you Dr Gopa Chowdhury Asstt. Prof, RIMS, Ranchi INDIA
Genitourinary concerns (Section 3) - Handbook of Women's Health
Post Menopausal Bleeding - Torbay PCT
Postmenopausal Bleeding: An Update European Journal of Medical and Health Sciences
Post-menopausal bleeding PV Dr Nasira Sabiha Dawood. - ppt download
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download
Postmenopausal bleeding: First steps in the workup
Diagnostic accuracy of cytology for the detection of endometrial cancer in urine and vaginal samples
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download
Postmenopausal Bleeding among Rural Women in Tamil Nadu, India: Mixed Methods Study. - Abstract - Europe PMC
Genitourinary concerns (Section 3) - Handbook of Women's Health
