Abstract: | Opinions on whether dilatation and curettage is justified in the case of vaginal bleeding in postmenopausal women taking estrogens are presented. Postmenopausal bleeding induced by estrogens usually stops after cessation of treatment, while bleeding due to endometrial cancer usually recurs or continues after cessation of estrogen therapy. Since endometrial cancer may become "silent" after initial bleeding, dilatation and curettage is indicated in all cases of postmenopausal vaginal bleeding, irregardless of estrogen therapy. |