Question

A 55-year-old postmenopausal woman presents with a single episode of painless vaginal bleeding. She is not using hormone therapy. What is the most appropriate initial investigation?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness

Answer

Pap smear only

Answer

CT scan of abdomen and pelvis

Answer

Empirical progestogen therapy and review

Answer

Endometrial biopsy in all cases without imaging

Practice question

A 55-year-old postmenopausal woman presents with a single episode of painless vaginal bleeding. She is not using hormone therapy. What is the most appropriate initial investigation?