The ultrasound looked reassuring.
The bleeding stopped.
Two years later, she bled again.
Someone wrote:
“Previously evaluated.”
Six months after that:
endometrial cancer.
The first evaluation may have been entirely appropriate.
The mistake may have been believing that it was valid forever.
Postmenopausal Bleeding Is a Symptom, Not a Diagnosis
Most women with postmenopausal bleeding will not have endometrial cancer.
That matters.
Medicine should not turn every episode of bleeding into catastrophe.
But postmenopausal bleeding is clinically important because endometrial cancer frequently presents with bleeding.
Evaluation therefore aims to identify who requires endometrial assessment while avoiding unnecessary invasive procedures in everyone.
