Question

A 42-year-old woman presents with heavy, irregular menstrual bleeding. She has no pregnancy symptoms, and a urine pregnancy test is negative. Which of the following is the most appropriate initial investigation?

Accepted Answer

Pelvic ultrasound and complete blood count

Answer

Endometrial biopsy without further tests

Answer

Hysterectomy

Answer

No investigations are required in women under 45

Answer

Measurement of CA-125 tumour marker

Practice question

A 42-year-old woman presents with heavy, irregular menstrual bleeding. She has no pregnancy symptoms, and a urine pregnancy test is negative. Which of the following is the most appropriate initial investigation?