A 47-year-old woman presents to the GP with intermenstrual and postcoital bleeding. She has a BMI of 23 kg/m² and no significant medical history. A pe...

Question

A 47-year-old woman presents to the GP with intermenstrual and postcoital bleeding. She has a BMI of 23 kg/m² and no significant medical history. A pelvic ultrasound shows an endometrial thickness of 10 mm with a regular endometrial-myometrial border. Her cervical screening is up to date and normal. Which is the single most appropriate next step?

Accepted Answer

Arrange outpatient endometrial biopsy (Pipelle) or hysteroscopy

Answer

Reassure and repeat ultrasound in 6 months

Answer

Prescribe the combined oral contraceptive pill

Answer

Check CA-125

Answer

Refer for MRI pelvis

uk-drcog MCQ (SBA): IMB with Thickened Endometrium - Biopsy