MedicineGynecologyObstetricsContraceptionReproductive EndocrinologyReproductive MedicineContraceptive EndocrinologyContraceptive PharmacotherapyEndometrial CancerEndometriosisMenstrual CycleUterine PathologyAbnormal Uterine Bleeding ManagementEndometrioid NeoplasmsHormonal Contraception-related BleedingHormonal Contraceptive TherapyOral Contraceptive PillsProgestin Treatment RegimensTissue-specific Diagnosis
Abnormal bleeding while taking oral steroidal contraceptives has been managed by changes in pill or addition of estrogen or progestin moieties. Diagnostic procedures, classically indicated, are universally not undertaken or postponed. Three cases of adenocarcinoma of the endometrium in relatively young patients using sequential oral contraceptives for cause are presented to reiterate the need for tissue diagnosis when abnormal bleeding occurs as a common side-effect of contraceptive therapy.