A 56-year-old postmenopausal woman is found on pelvic ultrasound (performed for postmenopausal bleeding) to have an endometrial thickness of 8 mm. She...

Question

A 56-year-old postmenopausal woman is found on pelvic ultrasound (performed for postmenopausal bleeding) to have an endometrial thickness of 8 mm. She is not on HRT. Which is the single most appropriate next step?

Accepted Answer

Arrange endometrial biopsy (Pipelle or hysteroscopy)

Answer

Reassure as endometrial thickness

Answer

Repeat the ultrasound in 3 months

Answer

Commence progestogen therapy to thin the endometrium

Answer

Request CA-125

uk-drcog MCQ (SBA): Endometrial Thickening

A 56-year-old postmenopausal woman is found on pelvic ultrasound (performed for postmenopausal bleeding) to have an endometrial thickness of 8 mm. She is not on HRT. Which is the single most appropriate next step?