Question

A 54-year-old woman with no significant past medical history presents with post-menopausal vaginal bleeding 3 years after her last period. She is not on hormone therapy. According to Canadian gynaecologic practice, what is the most appropriate initial investigation?

Accepted Answer

Order pelvic ultrasound with endometrial assessment and arrange endometrial sampling

Answer

Reassure her and review in one year

Answer

Start combined oral contraceptives for cycle regulation

Answer

Start tranexamic acid to reduce bleeding without investigation

Answer

Check FSH and LH levels only

Practice question

A 54-year-old woman with no significant past medical history presents with post-menopausal vaginal bleeding 3 years after her last period. She is not on hormone therapy. According to Canadian gynaecologic practice, what is the most appropriate initial investigation?