A 47-year-old woman presents to the GP with abnormal uterine bleeding. She has a BMI of 38 kg/m², type 2 diabetes, and nulliparity. Endometrial biopsy...

Question

A 47-year-old woman presents to the GP with abnormal uterine bleeding. She has a BMI of 38 kg/m², type 2 diabetes, and nulliparity. Endometrial biopsy reveals simple endometrial hyperplasia without atypia. Which is the single most appropriate management?

Accepted Answer

Levonorgestrel intrauterine system (Mirena) and repeat biopsy at 6 months

Answer

Urgent referral for hysterectomy

Answer

Reassure and repeat biopsy in 12 months without treatment

Answer

Combined oral contraceptive pill for 3 months

Answer

GnRH agonist for 6 months

uk-drcog MCQ (SBA): Endometrial Hyperplasia Without Atypia

A 47-year-old woman presents to the GP with abnormal uterine bleeding. She has a BMI of 38 kg/m², type 2 diabetes, and nulliparity. Endometrial biopsy reveals simple endometrial hyperplasia without atypia. Which is the single most appropriate management?