A 70-year-old woman presents to the GP with postmenopausal bleeding. She has never attended cervical screening. A pelvic ultrasound shows an endometri...

Question

A 70-year-old woman presents to the GP with postmenopausal bleeding. She has never attended cervical screening. A pelvic ultrasound shows an endometrial thickness of 3 mm. Which is the single most appropriate management?

Accepted Answer

Both A and C - reassure regarding the endometrium and arrange cervical screening

Answer

Reassure as endometrial thickness

Answer

Refer for endometrial biopsy regardless of endometrial thickness

Answer

Refer for cervical assessment as she has never been screened

Answer

Arrange a CT abdomen and pelvis

uk-drcog MCQ (SBA): PMB with Thin Endometrium

A 70-year-old woman presents to the GP with postmenopausal bleeding. She has never attended cervical screening. A pelvic ultrasound shows an endometrial thickness of 3 mm. Which is the single most appropriate management?