Question

A 37-year-old woman presents with abnormal uterine bleeding: frequent, heavy periods over 6 months. She is obese, nulliparous and has hypertension. Pregnancy test is negative. According to best practice, what is the most important next diagnostic step?

Accepted Answer

Arrange endometrial biopsy

Answer

Start combined hormonal contraception without investigation

Answer

Order a pelvic ultrasound only

Answer

Reassure and observe for another 6-12 months

Answer

Check serum CA-125

Practice question

A 37-year-old woman presents with abnormal uterine bleeding: frequent, heavy periods over 6 months. She is obese, nulliparous and has hypertension. Pregnancy test is negative. According to best practice, what is the most important next diagnostic step?