A 55-year-old postmenopausal woman presents to the GP with an incidental finding of an endometrial thickness of 5 mm on a pelvic ultrasound performed ...

Question

A 55-year-old postmenopausal woman presents to the GP with an incidental finding of an endometrial thickness of 5 mm on a pelvic ultrasound performed for other reasons. She has had no vaginal bleeding. She is not on HRT. Which is the single most appropriate management?

Accepted Answer

Reassure - an endometrial thickness of ≤4 mm in a postmenopausal woman without bleeding does not require further investigation, but 5 mm in an asymptomatic woman can be monitored

Answer

Refer urgently for endometrial biopsy

Answer

Start HRT to prevent endometrial atrophy

Answer

Arrange a hysteroscopy immediately

Answer

Prescribe cyclical progestogens

uk-drcog MCQ (SBA): Incidental Endometrial Thickening - Asymptomatic

A 55-year-old postmenopausal woman presents to the GP with an incidental finding of an endometrial thickness of 5 mm on a pelvic ultrasound performed for other reasons. She has had no vaginal bleeding. She is not on HRT. Which is the single most appropriate management?