Outpatient problems: intermenstrual bleeding.

Intermenstrual bleeding in young girls is frequently a symptom that disappears spontaneously, but in adults it is best regarded as a symptom of intrauterine pathology. In patients in the late reproductive phase of life it may be the first symptom of uterine carcinoma and should therefore be treated with the same respect as postmenopausal bleeding. Treatment usually presents lille problem in patients who are properly investigated (Table 1).