An Uncommon Cause of Postmenopausal Bleeding.

Area of Science:

• Gynecology
• Infectious Diseases
• Pathology

Background:

• Genital tuberculosis is often associated with infertility in younger women.
• Postmenopausal bleeding is a common gynecological complaint, often concerning for malignancy.

Observation:

• A 65-year-old multiparous woman presented with postmenopausal bleeding.
• Initial imaging suggested malignancy, but hysteroscopic biopsy revealed tuberculous endometritis.

Findings:

• The patient successfully responded to antitubercular therapy.
• This case highlights tuberculous endometritis as a treatable cause of postmenopausal bleeding.

Implications:

• Tuberculous endometritis should be considered in the differential diagnosis of postmenopausal bleeding, especially in developing countries.
• This underscores the importance of considering infectious etiologies even in postmenopausal bleeding, regardless of typical patient demographics.