Clinical Characteristics of Patients with Postmenopausal Bleeding

Postmenopausal bleeding is an episode of bleeding 12 months or more after the last menstrual period. The aim of the study was to ascertain aetiological factors of postmenopausal bleeding. This is a retrospective cohort study of 102 patients admitted over the period 2012 and May 2014 to the Obstetric Gynecologic University Hospital Queen Geraldine, in Tirana, Albania. Consecutive endometrial and endocervical biopsy specimens with clinical history of PMB, received over a period of one year, were included. Scanty biopsy specimens and poorly fixed specimens were excluded. Of pathologies 88 % were benign while 12 % were malignant. Patients at 55-64 years of age were the mostly affected women by postmenopausal bleeding whether due to benign or malignant pathology. Malignant pathologies found were endometrial carcinoma (54.5 %) & cervical carcinoma (45.5 %). These pathologies found mostly in patients aged 55-64 years. According to differentiation degree of endometrial cancer, 34.3 % of patients were well differentiated, 50.2 % were moderately differentiated, and in 15.5 % it was a poor differentiated tumor. A more thorough examination and specific management should be carried out for a woman who presents with PMB and increased endometrial thickness using hysteroscopic assessment and other investigations.