@leeosteo I had similar symptoms as you when I was 67-years-old. My symptoms began with spotting (post-menopausal) and after that occurred twice I called my gynecologist. Over the period of about a month I had an ultrasound that showed a thickened endometrial lining and then a D & C with hysteroscopy. I didn’t have an in-office biopsy which is just as well because during that one month period I developed cramps that got worse. The cramps went away after the D & C and I had two fibroids that were removed however my results showed endometrial adenocarcinoma, FIGO Grade 1.

Like @val64 I learned here that some gynecologists prescribe misoprostol which dilates the cervix so that a uterine biopsy can be performed. I also agree with @val64 that since you have both the thickened endometrial lining and vaginal bleeding with cramps that it makes sense to go ahead with the D & C. The results of the D & C may show that the curetage of the uterine lining with the fibroids take away your symptoms and the pathology report will show no evidence of disease. I do hope that is the case for you however I think you should go ahead with the procedure soon.

How are you feeling tonight and what you thinking you will do?