Specific differential diagnosis
Refer women using a suspected cancer pathway referral (for an appointment within 2 weeks) for endometrial cancer if they are aged 55 and over with post‑menopausal bleeding (unexplained vaginal bleeding more than 12 months after menstruation has stopped because of the menopause).
Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for endometrial cancer in women aged under 55 with post‑menopausal bleeding.
Consider a direct access ultrasound scan to assess for endometrial cancer in women aged 55 and over with:
- unexplained symptoms of vaginal discharge who:
- are presenting with these symptoms for the first time or
- have thrombocytosis or
- report haematuria, or
- visible haematuria and:
- low haemoglobin levels or
- thrombocytosis or
- high blood glucose levels.