<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been experiencing vaginal bleeding after menopause, vaginal itching, cramps and spasms, long menstrual periods, and intermenstrual bleeding. What could be the problem?  <response>: Based on your symptoms, it is possible that you have endometrial cancer. I will need to conduct further tests to confirm the diagnosis. 