ABSTRACT
Abnormal bleeding in menopausal patients is common, and may present as perimenopausal menstrual irregularity, breakthrough bleeding on hormone replacement therapy (HRT) or as a clearly defined episode of postmenopausal bleeding. The need exists to diagnose accurately endometrial pathology in such patients. Endometrial pathology is varied and mostly benign (Table 1). Endometrial carcinoma, however, is the most common of the reproductive malignancies with approximately 90% of endometrial cancers occurring in women of 50 years of age or more (Table 2). An easily applied and accurate diagnostic procedure for menopausal patients with abnormal bleeding would be a valuable guide for their management.
