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Postmenopausal bleeding: a practical approach
1Regional Breast Cancer Program, Madigan Army Medical Center, Tacoma, WA, USA. Helen.McGregor@nw.amedd.army.mil
Journal of the American Academy of Nurse Practitioners
|April 5, 2002
Abstract
Purpose:
To provide nurse practitioners (NPs) with a practical approach for the management of postmenopausal bleeding in office settings.
Data Sources:
Selected scientific literature and the author's own experience.
Conclusions:
Postmenopausal bleeding should be considered cancer until proven otherwise, despite the fact that abnormal pathology is found in only 15% of endometrial biopsies.
Implications For Practice:
Post menopausal bleeding can be safely evaluated and managed by NPs using aspiration endometrial biopsies and/or transvaginal ultrasound. Hospitalization for dilation and curettage under anaesthesia can often be avoided.