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etio of postmenopausal bleeding
Etiology of Postmenopausal Bleeding
• Atrophic vulvovaginitis (most common causes)
• Exogenous estrogen
• Endometrial cancer (15-20%)
• Endometrial hyperplasia
• Endometrial or cervical polyps
• Cervical ectropion
• Other gynecologic malignancies
---• Carcinoma of cervix
---• Carcinoma vagina
---• Uterine sarcoma
---• Fallopian tube/ovarian cancer
• Bleeding from the urinary tract
• Bleeding from the GI tract
• Coagulation disorder
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