Question 261 · LEK · Endometrial cancer
A 60-year-old female visited her gynaecologist because of vaginal bleeding/spotting. The symptoms appeared after sexual intercourse. The patient has not had periods for 10 years. She has not observed any spotting or bleeding so far. For the last few years she has been treated with marcumar for atrial fibrillation. Indicate the possible cause(s) of these symptoms:
- A. the use of marcumar.
- B. cervical cancer.
- C. endometrial proliferation/cancer.
- D. vaginal atrophy.
- E. all of the above.
Hint
Postmenopausal and postcoital bleeding has a broad differential, including drugs and atrophic changes.
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