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J Midlife Health. 2019 Oct-Dec;10(4):213-215. doi: 10.4103/jmh.JMH_17_18.

An Uncommon Cause of Postmenopausal Bleeding.

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Department of Obstetrics and Gynecology, Government Medical College and Hospital, Chandigarh, India.
Department of Pathology, Government Medical College and Hospital, Chandigarh, India.


A 65-year-old multiparous female was evaluated for postmenopausal bleeding. Imaging was strongly suggestive of malignancy. However, hysteroscopic-guided endometrial biopsy revealed tuberculous endometritis. The patient responded to antitubercular therapy and recovered completely. Genital tuberculosis is typically considered a disease of young women presenting with infertility. However, tuberculous endometritis should be considered in a patient of postmenopausal bleeding, particularly in developing countries. It is a rare, but curable cause of postmenopausal bleeding.


Endometrial carcinoma; postmenopausal bleeding; tuberculous endometritis

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