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Respond to the following in a minimum of 175 words:
Perimenopausal and postmenopausal bleeding:
There are many causes for perimenopausal and postmenopausal bleeding (PMB). Some of the causes of bleeding may be benign while other causes may be pathologic. Abnormal bleeding can be physiologic, pathologic or medication related. All PMB requires a thorough history and exam.
What are some important components to consider in taking a history of a women with PMB? What are some important components of the physical exam? Discuss the assessment, diagnosis and treatment of PMB?