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MediumGynaecologyAbnormal uterine bleedingca-mccqe1ca-ccfp

A 49-year-old woman presents with heavy, irregular menstrual bleeding over the past 6 months. She is perimenopausal, haemoglobin is 110 g/L and pregnancy test is negative. Pelvic examination is normal. What is the most appropriate initial investigation?

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