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John A. Kerner, MD
Mount Zion Hospital and Medical Center University of California, San Francisco

JAMA. 1986;255(21):2897-2898.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

It has been my observation that postmenopausal bleeding is often associated with antecedent corticosteroid administration. This has been particularly true among patients who had been receiving estrogen given in a cyclic fashion and who had not bled for some years prior to corticosteroid therapy. Since this association has not been described, I undertook a retrospective analysis of such cases in my practice in the preceding 18 months.

During the period of review, 45 patients underwent dilatation and curettage for postmenopausal bleeding. Of these, nine, all of whom were taking cyclic estrogen, received corticosteroids prior to the bleeding. In seven of the nine the corticosteroid had been given as one or more injections for arthritic complaints. In one patient the corticosteroid was applied locally to the vulva in a liberal fashion for a severe vulvitis. One patient had an injection of corticosteroid for a severe dermatitis. The average . . . [Full Text PDF of this Article]

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