Histopathological Findings in Libyan Women with Postmenopausal Bleeding

postmenopausal bleeding is likely due to a benign cause in woman of postmenopausalage, but this bleeding is the most common presenting symptom of endometrial cancer andshould always be regarded with suspicion and must be evaluated at the appointed time. toinvestigate the histopathological causes of postmenopausal bleeding, and estimate theprevalence of malignancy in patients have presented with postmenopausal bleeding. weinvestigated the histopathological findings in women presented with postmenopausalbleeding by conducting a three-year retrospective study of gynecological surgicalspecimens from 110 women accessed in the Department of pathology at Misurata TeachingHospital. the mean age for women with postmenopausal bleeding was 56.7 ± 9.8 years oldand 80.9% of them had benign pathology. Endometrial polyp was the commonestpathology representing 46.4% of the total specimens while endometrial atrophyrepresenting 10.9%. Of the total cases; 5.5% had simple cystic endometrial hyperplasia.Leiomyoma was reported in 10% of the cases associated with other pathology includingchronic nonspecific cervicitis and adenomyosis. Three patients (2.7%) were diagnosed tohave premalignant changes. The frequency of malignancy among these women was 11.8 %,most of them reported histopathologically to have endometrial carcinoma. benign pathologyis more frequent cause of postmenopausal bleeding, but we must always evaluate and ruleout malignancy by oriented biopsy.