A 58-year-old postmenopausal woman presents to the GP with a single episode of vaginal bleeding. She has not taken HRT. Her last menstrual period was ...

Question

A 58-year-old postmenopausal woman presents to the GP with a single episode of vaginal bleeding. She has not taken HRT. Her last menstrual period was 7 years ago. Which is the single most appropriate action?

Accepted Answer

Refer on a suspected cancer pathway (2-week wait) for investigation

Answer

Reassure and observe as a single episode is unlikely to be significant

Answer

Prescribe topical vaginal oestrogen and review in 4 weeks

Answer

Arrange a pelvic ultrasound to measure endometrial thickness

Answer

Check FSH to confirm menopausal status

uk-drcog MCQ (SBA): Postmenopausal Bleeding

A 58-year-old postmenopausal woman presents to the GP with a single episode of vaginal bleeding. She has not taken HRT. Her last menstrual period was 7 years ago. Which is the single most appropriate action?