1 In more or less 20% to 30percent of situations of postmenopausal genital bleeding, the main cause could be related to endometrial cancer tumors or atypical endometrial hyperplasia. 2 extra reasons consist of estrogen or progesterone treatment (for example., hormones replacement therapy HRT) and vaginal atrophy as a result of low estrogen amounts. 2 Age and menstrual status influences the reason for irregular genital bleeding; in postmenopausal females, structural problems are normal underlying reasons (TABLE 1). 3 Although postmenopausal genital bleeding continues to be a cardinal manifestation of endometrial cancer tumors, situation reports have indicated it could be a unique presenting indication of other diseases as well, including non-Hodgkin lymphoma and adenocarcinoma that is pancreatic. 4,5

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