Genital bleeding in women aged 50 and over

Histologic findings from 1,038 endometrial curettages performed for abnormal bleeding in patients 50 years old and over are presented. These findings were analyzed and compared according to the age of the patients. The overall malignancy rate was 22.7%. Endometrial carcinoma was the most common malignancy. The possibility of a malignant tumor increases with age. Atrophic endometrium was the cause of post-menopausal bleeding in 33.2% of the patients and adenomatous or adenocystic hyperplasia in 27.0%.