After menopause, bleeding again

Patient's question:

I haven't had my period for two years, and I've recently started bleeding again, along with lower back pain. What could be causing this? If I need to get checked, what tests should I have done? We live in the countryside, and the local hospital is very small. Do I need to go to a bigger hospital for the examination?

Doctor's answer:

Consider it to be a gynecological inflammation.

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