Any vaginal bleeding after the menopause needs investigation. Of those women who experience such bleeding approximately 5% of women will have some form of genital tract malignancy.
PMB is investigated initially with a pelvic ultrasound. If the lining (endometrium) of the womb is thin and can be seen clearly patients can be reassured and no further investigation is required. If the lining of the womb is thicker than expected then a hysteroscopy and a sample of endometrium should be taken for analysis