Recurrent uterine bleeding in a menopaused female

66 years,came for recurrent uterine bleeding; menopause at 53, four natural deliveries. examination found obesity. Surgical History: hysterectomy with bilateral adnexa by laparoscopic approach was performed on 3 December 2002. Please give your valuable opinion.

LikeAnswersShare
Could have had subtotal hysterectomy.she is already hysterectomised patient.could be senile vaginitis.or if the cervix was left behind could be cancer cx.so a vaginal per speculum examination should be done.it will r/o both these diseases..
Think of Senile vaginitis and treat with estrogens DD malignancy of vault/ remained part of cervix if left
Thanks Dr. Yogmaya
0
Adenomyosis
IT'S A..CASE OF.. ? MENOPAUSAL VAGINAL ATROPHY.. VAGINOSIS..BACTERIAL..OR..TRICHOMONS.. ? VAULT PATHOLOGY.. ? MALIGNANCY..
Color Doppler. Needed. Dermoid old collection. Mucinous ?
Contd then if some local cause.is present invest by ct scan.
Malignancy of vault Ad biopsy for diagnosis

Cases that would interest you