Differential diagnosis
- Endometrial Ca – HRT, late menopause, tamoxifen, obesity, DM
- Vaginal atropy – dyspareunia
- Cervical/Vaginal Ca
- Endometrial hyperplasia/polyp
Data gathering
- Red flags – risk factors of endometrial Ca (as above)
- Examine
- BP, pulse
- Speculum/pelvic
- Urine dip
Clinical management
- 2 week wait is most likely