This systematic review and meta-analysis of 40 790 unique patients in 129 unique studies suggests that postmenopausal bleeding occurs in approximately 90% of women with endometrial cancer; however, only 9% of women with postmenopausal bleeding were diagnosed with endometrial cancer.
How often is postmenopausal bleeding cancer?
Approximately 9% of postmenopausal women who saw a doctor for bleeding later received a diagnosis of endometrial cancer. Unlike many other cancer types, the rate of endometrial cancer has increased in recent years and is expected to continue rising worldwide over the coming decade.
What is the most common cause of postmenopausal bleeding?
Causes of postmenopausal bleeding
The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels. cervical or womb polyps – growths that are usually non-cancerous.
Can post menopausal bleeding be benign?
Postmenopausal bleeding is usually due to benign (noncancerous) gynecological conditions such as endometrial polyps. But for about 10% of women, bleeding after menopause is a sign of uterine cancer (endometrial cancer).
What is bleeding from uterine cancer like?
Abnormal vaginal bleeding is the most common symptom of uterine cancer. Bleeding may start as a watery, blood-streaked flow that gradually contains more blood. Women should not assume that abnormal vaginal bleeding is part of menopause.
What percentage of endometrial biopsies are cancerous?
Conclusions: In a postmenopausal woman without vaginal bleeding, if the endometrium measures > 11 mm a biopsy should be considered as the risk of cancer is 6.7%, whereas if the endometrium measures < or = 11 mm a biopsy is not needed as the risk of cancer is extremely low.
What were your first signs of endometrial cancer?
The most likely symptoms are:
- Abnormal vaginal bleeding or discharge, which occurs in nine out of 10 women with endometrial cancer. …
- Vaginal discharge that may range from pink and watery to thick, brown, and foul smelling.
- Difficult or painful urination.
- An enlarged uterus, detectable during a pelvic exam.
Why would a 60 year old woman bleed?
In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancer—a malignancy of the uterine lining, but only in a small number of cases.
Does postmenopausal bleeding stop on it’s own?
RETURN OF BLEEDING — IS THIS NORMAL? During menopausal years, women may experience a return of vaginal bleeding. They may spot for a day or a week, and then bleeding may go away. When bleeding does stop, it’s natural not to think about it again.
What tests are done for postmenopausal bleeding?
Examples of tests used to diagnose the cause of postmenopausal bleeding include: Dilation and curettage (D&C): This procedure involves dilating or widening the cervix to obtain a larger tissue sample. It also involves using a special tool called a hysteroscope to see inside the uterus to identify any potential growths.
Should I have a hysterectomy for postmenopausal bleeding?
When postmenopausal bleeding is diagnosed as endometrial cancer, most cases can be cured with a hysterectomy. However, because endometrial cancer can spread into the lymph nodes, many patients also should have a lymph node dissection at the time of hysterectomy.
Will a D&C stop postmenopausal bleeding?
D&C is the quickest way to stop active bleeding in the uterus. D&C is one method used to get a tissue sample for testing. For example, a postmenopausal woman who has vaginal bleeding is usually tested for signs of endometrial cancer.
Can ovarian cyst cause postmenopausal bleeding?
Benign ovarian cysts can release estrogen that can cause postmenopausal bleeding. We detect these cysts using a pelvic ultrasound scan. Uterine cancer is the most common cancer found in women with postmenopausal bleeding. We may find this after one episode of bleeding.