Dr Amir Khan

So the endometrium is the inside lining of the womb.

It's the lining that thickens up with your hormones, essentially, and then sheds when you're having your period.

So we're thinking about bleeding here or discharge from the vagina.

So...

Absolutely any, any, no matter how small, postmenopausal bleeding, even if it's a tiny little pink dot, we want to see you.

So if you've gone 12 months without a period and then you are now, you've had a little bit of a bleed or a lot of a bleed, we absolutely need to see you.

I'm not saying it's definitely endometrial cancer, but it could be.

And that's what we need to rule out.

For those people who are not postmenopausal, if your periods feel different, they're heavier than normal or you're bleeding in between your periods, then there's a very good chance that's something else.

But we want to rule out endometrial cancer.

Abdominal pain, both ovarian and endometrial cancer can cause pain as well, particularly pain that kind of goes around to your back as well as your tummy area or your pelvic area.

area.

And then unexplained vaginal discharge.

If you are postmenopausal, generally speaking, you shouldn't be having any vaginal discharge.

Now, you can get them with infections like thrush and things like that.

But I would never, as a GP, I do not diagnose new thrush in

in a post-menopausal woman unless I've ruled out other things like a gynaecological cancer, like endometrial cancer.

And it doesn't have to be bloodstain discharge.

It doesn't have to be a pink.

It could be any new discharge for you.