
CASE DISCUSSION
The Clinical Puzzle of Postmenopausal Bleeding
Presented from by Dr. Sumana Talakokkula
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Case Description
Postmenopausal bleeding (PMB) is defined as any vaginal bleeding occurring after 12 months of amenorrhea in a woman of menopausal age and is considered an important clinical concern. Though often caused by benign conditions such as endometrial atrophy, polyps, or hormone replacement therapy, PMB...
Case Summary
- Post-menopausal bleeding (PMB), defined as bleeding occurring 12 months after the cessation of menstruation, affects 4-11% of women. While 90% of cases are due to benign causes, 10% can be attributed to malignancy, primarily endometrial cancer. Thorough clinical investigation is crucial to identify the underlying cause and reduce mortality and morbidity.
Speaker Profile

Dr. Sumana Talakokkula
Consultant Gynecologist- CEO, Maheshwara Medical College & Hospital, HyderabadDr. Sumana Talakokkula is a seasoned Consultant Gynecologist and Obstetrician based in Hyderabad, with over 22 years of experience in women’s health . She earned her MBBS from Gandhi Medical College, followed by specialist diplomas in Obstetrics & Gynecology and Anesthesiology from Osmania Medical College and the College of Physicians & Surgeons, Mumbai. Dr. Talakokkula has held key positions, including Consultant Gynecologist at Maheshwara Medical College & Hospital (2015–2017), and currently practices at leading clinics such as Apollo and SLG Hospitals. Her expertise spans a broad range of services—PCOS management, fertility treatments, laparoscopic surgery, hysterectomy, prenatal care, and endoscopy among others. A member of FOGSI and IMA, she is also actively involved in academic medicine, having presented research at state and national conferences