BMJ Case Reports 2013; doi:10.1136/bcr-2012-008500

An unusual cause of postmenopausal bleeding

  1. Vaidyanathan Gowri
  1. Department of Obstetrics and Gynaecology, Sultan Qaboos University, Muscat, Oman
  1. Correspondence to Dr Vaidyanathan Gowri, gowrie61{at}


A 68-year-old postmenopausal woman presented to the gynaecology clinic with a 1-week history of vaginal bleeding. She was investigated to rule out local and systemic causes including genital malignancy. The investigations were negative for genital malignancy and her symptoms settled spontaneously. The bleeding was attributed to a corticosteroid treatment for shoulder joint pain. A short literature review of this rare side effect is discussed.

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