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Abstract : Ovarian granulosa cell tumors are rare and account for 2-5% of ovarian malignancy. Granulosa cell tumors showed some features of normal granulosa cells with estrogenic effects. Therefore, the diagnosis is usually by common ovarian symptoms or endometrial pathologies. Depending on age estrogen, excess symptoms might be present. A high level of estrogen, steroid hormones excess, age, the presence of symptoms, and the presence of p53 mutation are the risk factors. Therefore, endometrial biopsy is mandatory, the standard therapeutic protocol consists of total radical hysterectomy with bilateral adnexectomy, and unilateral adnexectomy is an option with meticulous follow-up to preserve reproductive function. A six-cycle carboplatin and paclitaxel is the preferred adjuvant modality with bleomycin, etoposide, and cisplatin (BEP) an effective alternative. Stage 1 patient treatment should be individualized case by case depending on stage, risk, and differentiation. We presented a rare case of ovarian granulosa cell tumor with endometrial cancer presenting with post-menopausal bleeding.