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

• A. Not likely
• B. Only with large fibroids
• C. True
• D. False

Answer: (D)

Subserosal fibroids grow on the outer surface of the uterus and do not distort or involve the endometrial cavity. Postmenopausal bleeding typically reflects endometrial pathology (atrophy, polyps, or cancer) rather than fibroids, especially those on the serosal surface. Submucosal fibroids, which project into the endometrial cavity, are the type more likely to cause abnormal uterine bleeding. So the statement is false.