title: Case-series report: management of post-menopausal bleeding in the presence of an intrauterine device.
abstract: Post-menopausal bleeding in the presence of prolonged use of an intrauterine device should be investigated with hysteroscopy and endometrial sampling to rule out endometrial pathology. Here, we present two cases of prolonged use of intrauterine contraceptive device (IUCD), both associated with endometrial pathology, to illustrate the importance of these investigations.
authors.affiliation: Department of Women's Health, Whittington Hospital, N19 5NF, London, United Kingdom. pisal@dr.com
authors.forename: Narendra
authors.initials: N
authors.lastname: Pisal
authors.forename: May
authors.initials: M
authors.lastname: Mammo
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D008875:Middle Aged; D017698:Postmenopause; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000473:pathology