First AD

Second AD

These images are from a middle-aged woman with abnormal vaginal bleeding. What’s your diagnosis?


The endometrium measured 40 millimeters in thickness with minute cystic areas within it. The endometrial margins are well-defined, suggesting a benign condition rather than malignancy. However, histopathological correlation is imperative in such a case.

Gynecologic Oncology

Can you identify the cause of abnormal vaginal bleeding in this middle-aged woman?

Image IQ: Abnormal Vaginal Bleeding

Joe Antony, MD