INTERMENSTRUAL BLEEDING

A 48-year-old woman presents with intermenstrual bleeding for 2 months. Episodes of bleeding occur any time in the cycle. This is usually fresh red blood and much lighter than a normal period. It can last for 1–6 days. There is no associated pain. She has no hot flushes or night sweats. She is sexually active and has not noticed vaginal dryness. She has three children and has used the progesterone only pill for contraception for 5 years. Her last smear test was 2 years ago and all smears have been normal. She takes no medi- cation