<prompt> Post-menopausal bleeding is associated with all except:Ca cervixCINCa ovaryEndometrial Ca  <response>: Ans. is b, i.e. CINRef: Novak 14thed, p490; CGDT 10thed, p577-578; Jeffcoate 7thed, p614Postmenopausal bleeding is defined as bleeding which occurs after 12 months amenorrhea in a middle aged women.Causes of Post-Menopausal Bleeding: Exogenous estrogen HRT Vaginitis - tubercular, Candida, chlamydia, senile Endometrial hyperplasia Cervical cancer Uterine sarcoma DUB - ovulatoryanovulatory ulcerForeign body Bleeding from urethra, bladder, rectum which is mistaken for vaginal bleeding. Endometritis - tubercular, senile pyometra hematometra Endometrialcervical polyp Endometrial cancer correct option Ovarian cancer correct option Fallopian tube carcinoma Injuries - direct trauma DecubitusAs far as Fallopian tube carcinoma is concerned. Most common age group 50-60 years.Most common symptom: Watery discharge which tracks from the tube through the uterus and vagina hydrops tubal profluens.It is typically colourless, profuse in amount and escapes continuously or in gushes. The discharge ultimately becomes blood stained from ulceration of growth and female presents as post menopausal bleeding, correct option.Cervical cancer is a cause of postmenopausal bleeding, but cervical carcinoma in situ which is seen at 25-35 years of age and CIN which is seen in women in their 20s is not a cause of post menopausal bleeding.Remember:CIN is most commonly detected in women in their 20s, peak incidence of carcinoma in situ is in women aged 25 - 35, while incidence of cervical cancer rises after the age of 40. - Ref: CGDT 10thed, p833 