At age "44", ovulation is frequently not "regular", and extra stimulation of the endometrium occurs with sustained estrogen production, and this can cause "stromal breakdown" leading to "spotting" or actual vaginal bleeding. "Benign" indicates that the tissue examined has no abnormal cellular content.
Answered 8/29/2022
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No. There is no cause of concern in the report you cited.
Answered 8/29/2022
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