An obese woman of 49 years of age, affluent woman with diabetes and hypeension, complains of heavy menstrual bleeding with delayed and irregular cycles. Which of these is the most impoant cause that should be ruled out in this patient?
Risk factors for ca endometrium are Nulliparity Late menopause Obesity Diabetes mellitus Unopposed estrogen therapy Tamoxifen therapy Atypical endometrial hyperplasia Lynch II syndrome 20 Since the patient here is 49 yrs, obese, and diabetic, endometrial cancer must be ruled out here.
Cancer cervix
Ca endometrium
Fibroid uterus
Polycystic ovaries
Post menopausal bleeding