Submucosal fibroids are likely to cause postmenopausal bleeding. True or False?

• A. Not likely
• B. Only in premenopause
• C. True
• D. False

Answer: (C)

Submucosal fibroids extend into the uterine cavity and directly involve the endometrium. This location disrupts normal endometrial shedding, making heavier and irregular bleeding more likely. Even after menopause, if a submucosal fibroid remains, it can contribute to bleeding, though postmenopausal bleeding generally requires evaluation for endometrial pathology. Therefore, saying that submucosal fibroids are likely to cause postmenopausal bleeding is true, since their intraluminal position makes bleeding a common symptom when they are present.