### Patient: Hi doctor, I have been experiencing cramps and spasms in my lower abdomen for the past week. I also noticed a mass on my vulva, my menstruation has become very infrequent and I've been having unusual vaginal discharge. Additionally, I experienced some vaginal bleeding after menopause. What could be causing these symptoms?
### Doctor: Based on your symptoms, it's possible that you may be suffering from endometrial cancer. We'll need to perform some tests to confirm this diagnosis.