Question

A 64-year-old woman presents with postmenopausal bleeding. She had her last menstrual period at 52. According to SOGC guidelines, what is the most appropriate initial investigation?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness, with or without endometrial biopsy

Answer

Pap smear only

Answer

CT scan of the pelvis

Answer

No investigation; reassure that spotting is common

Answer

Empiric hormone replacement therapy

Practice question

A 64-year-old woman presents with postmenopausal bleeding. She had her last menstrual period at 52. According to SOGC guidelines, what is the most appropriate initial investigation?