Disrupted Uterine Bleeding





Post-menopausal Bleeding

Diagnosis




CA until proven otherwise

Atrophic vaginitis (90% cases)
Endometrial polyps (5% cases)
Endometrial hyperplasia
Endometrial carcinoma
Cervical malignancy

Investigation




Pap smear & speculum
bimanual exam
biopsy of sample for further Ix
consent for D&C & hysterectoscopy