Hi, Thanks for using HCM.
You are in post menopausal age group (70 yrs) and in this age group, spotting should be evaluated thoroughly.
we have to rule out possible causes of bleeding or spotting in current context once again. These are as follows:
1) Endometrial atrophy (thinned out)
2)
Endometrial hyperplasia (previously you have)
3)
Endometrial cancer (
uterine cancer)-more risk in postmenopausal bleeding.
4) Others- polyp, infection,
adenomyosis, certain medication etc.
Complete physical examination including pelvic/speculum exam and colposcopy if indicated, is needed to rule out underlying pathology.
Possibilities can be narrowed by several investigations like blood test for thyroid profile & clotting factor abnormality, Trans Vaginal Sonography (TVS) scan, Pap smear test to detect cancerous changes and
endometrial biopsy (which may be needed).
Hope this helps you.
Regards