Clinical Case Database / Category: Clinical Care

Investigating women with postmenopausal bleeding

Publication details

Fadi Alfhaily MBChB MSc DFFP MRCOG, J Evans Jones FRCOG, MA Khaled FRCOG PhD
Foundation Years Journal, volume 3, issue 3, p.43 (123Doc Education, London, April 2009)


A 59-year-old lady attended rapid access clinic complaining of a bloodstained discharge in the last 2 weeks for the first time since her menopause at age 53. She has no significant gynaecological history.

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Fadi Alfhaily MBChB MSc DFFP MRCOG

Specialist Registrar in Obstetrics and Gynaecology
Colchester Hospital University NHS Foundation Trust

J Evans Jones FRCOG

Consultant Obstetrician and Gynaecologist
Director of Obstetrics and Gynaecology
Colchester Hospital University NHS
Foundation Trust


Consultant Obstetrician and Gynaecologist
Director of Education
Colchester Hospital University NHS Foundation Trust


1. Alfhaily F, Ayman AA Ewies. The first line investigation of postmenopausal bleeding: transvaginal ultrasound scanning and endometrial biopsy may be enough. In press.
2. Munot S, Lane G. Modern management of postmenopausal bleeding. Trends in Urology, Gynaecology & Sexual Health, September/October 2008, 13(5):20–24.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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