A 60-year-old woman, menopausal for 8 years, started bleeding again and found a rounded mass in the uterus. She has had loose motions and lower back pain for two days. What should we do?
Postmenopausal bleeding with a uterine mass needs urgent evaluation as it could indicate fibroids, polyps, or even cancer. She should see a gynecologist immediately for an ultrasound, biopsy, and further tests to determine the cause and start appropriate treatment.