A 46-year-old woman presents with heavy irregular menstrual bleeding over 6 months. Pregnancy test is negative. She has no anaemia and pelvic exam is ...

Question

A 46-year-old woman presents with heavy irregular menstrual bleeding over 6 months. Pregnancy test is negative. She has no anaemia and pelvic exam is normal. According to initial evaluation principles for abnormal uterine bleeding in premenopausal women, which investigation is most appropriate first-line?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness and structural causes

Answer

Endometrial biopsy in all women under 50

Answer

Diagnostic laparoscopy

Answer

Serum follicle-stimulating hormone to confirm perimenopause

Answer

Hysteroscopy with dilation and curettage in all cases

ca-mccqe1 MCQ (SBA): Abnormal uterine bleeding