Postmenopausal bleeding

by, MD. Eglantina DEMA

Abstract

1.Preface: Menopause is defned retrospectively as the time of the fnal menstrualperiod followed by 12 months of amenorrhea. Post menopause describes the period following the fnal menses. Abnormal postmenopausal bleeding should always be taken seriously and be properly investigated, no matter how minimal or no persistent. 2. Te Purpose: Te purpose of our study is to determine what are the causes of postmenopausal vaginal bleeding and the percentage of endometrial cancer among other causes, diagnosis and treatment of these patient in our university hospital. 3. Methods: Tis is a retrospective study of clinical gynecological charts of 200 patients with diagnosis of postmenopausal bleeding from 1 January 2018- 31 December 2018 in the university «Queen Geraldine». 4. Statistical Analysis: We used IBM SPSS Statistics 25 test, Anova test, Spearman’rho and Independent Samples test for processing these data. 5.Results Te causes of postmenopausal bleeding we found: 55(27.5 %) of them had Hypertrophy, 20(10%) had Atrophy;38(18.5%) had Polips;20(10%) polipoid Fragments;65(33%) had endometrial cancer;1(0.5%) had cervical cancer,1(0.5%) atipic squamous cells. Age, menopausal age, years in menopause, endometrial thickness, HTA have a signifcant correlation with endometrial cancer. So we can say that these factors increase the likelihood of developing of endometrial cancer. In our study we found no signifcant correlation between diabetes, obesity and endometrial cancer. 6. Discussion: Endometrial cancer takes the frst place in our study because the gynecologist in the cities treat all benign cases and recommend to our university hospital all difcult cases like endometrial cancer. 57 MEDICUS / NO. 3, 2020 7.Conclussions: Endometrial cancer is the most common cause of postmenopausal bleeding with 33%. 8. Recommendation: We recommend a large prospective study to verify the percentage of endometrial cancer in Albania and to look for other factors that can contribute in the development of endometrial cancer.