History taking - Post menopausal bleeding.
Introduction:
How old are you?
When did the bleed start? For how long?
Have you noticed bleeding after sex?
Did you pass clots or have you noticed only spotting?
Have you got any abdominal pain?
Vaginal discharge? type? Weight loss?
When did you attain menarche?
When did you attain menopause?
When did you have the last cervical smear?
H/o hot flushes, night sweats and dry vagina.
How many children have you got?
H/o smoking and alcohol?
Are you on any other drugs or HRT?
H/o gynecological operations?
Any other medical problems?
Any f/h of genital cancer?