Monday, April 16, 2012

Question of the Week # 366

366)  A 59 year old woman is evaluated in your office for vaginal bleeding. The patient has not had a menstrual period for the past eight years. She  has never taken hormone replacement therapy. Over the past 6 months she has had several episodes of spotting. The bleeding is more pronounced after sexual activity. Physical examination including pelvic examination is unremarkable. Which of the following is the most common cause of post-menopausal bleeding?

A) Endometrial Carcinoma

B) Endometrial Hyperplasia

C) Cervical polyps

D) Vaginal Atrophy

E) Fibroids
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