Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-24T00:15:41.209Z Has data issue: false hasContentIssue false

Case 40 - A 71-Year-Old G2P2 Woman with Postmenopausal Bleeding and Severe Cervical Stenosis

Published online by Cambridge University Press:  19 November 2021

By
Daniel Breitkopf
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 71-year-old gravida 2, para 2 woman presents with vaginal bleeding for one week. The bleeding has been light and dark red in color. She has not been on hormone replacement therapy. She denies pelvic pain, or changes in bowel or bladder function. Her medical and surgical history are non-contributory. There is no family history of breast, uterus, ovarian, or colon cancers. She is not taking medications and has no history of drug allergy.

Keywords

Abnormal uterine bleedingpostmenopausal bleedingcervical stenosis
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 121 - 124
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

ACOG Committee Opinion No. 734: The role of transvaginal ultrasonography in evaluating the endometrium of women with postmenopausal bleeding. Obstet Gynecol 2018; 131(5): e124-e129.CrossRefGoogle Scholar
van Hanegem, N, Prins, MM, Bongers, MY, et al. The accuracy of endometrial sampling in women with postmenopausal bleeding: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 2016; 197: 147–55.CrossRefGoogle ScholarPubMed
The use of hysteroscopy for the diagnosis and treatment of intrauterine pathology: ACOG committee opinion, number 800. Obstet Gynecol 2020; 135(3): e138–48.Google Scholar
Wood, MA, Kerrigan, KL, Burns, MK, et al. Overcoming the challenging cervix: identification and techniques to access the uterine cavity. Obstet Gynecol Surv 2018; 73(11): 641–9.CrossRefGoogle ScholarPubMed
Christianson, MS, Barker, MA, Lindheim, SR. Overcoming the challenging cervix: techniques to access the uterine cavity. J Low Genit Tract Dis 2008; 12(1): 24–31.CrossRefGoogle ScholarPubMed
Al-Fozan, H, Firwana, B, Al Kadri, H, Hassan, S, Tulandi, T. Preoperative ripening of the cervix before operative hysteroscopy. Cochrane Database Syst Rev 2015; (4): CD005998.Google ScholarPubMed
Bettocchi, S, Bramante, S, Bifulco, G, et al. Challenging the cervix: strategies to overcome the anatomic impediments to hysteroscopy: analysis of 31,052 office hysteroscopies. Fertil Steril 2016; 105(5): e16–17.CrossRefGoogle Scholar
Kececi, IS, Nural, MS, Aslan, K, et al. Efficacy of diffusion-weighted magnetic resonance imaging in the diagnosis and staging of endometrial tumors. Diagn Interv Imaging 2016; 97(2): 177–86.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×