A 52-year-old woman presents to the GP with postmenopausal bleeding (her last period was 3 years ago). She is not on HRT. A transvaginal ultrasound sh...

Question

A 52-year-old woman presents to the GP with postmenopausal bleeding (her last period was 3 years ago). She is not on HRT. A transvaginal ultrasound shows an endometrial thickness of 2.5 mm. According to current guidance, how should this result be interpreted?

Accepted Answer

An endometrial thickness ≤4 mm in a symptomatic postmenopausal woman has a high negative predictive value for endometrial cancer (>99%) - biopsy is not routinely required but she should be advised to return if bleeding recurs

Answer

Endometrial cancer cannot be excluded - biopsy is required

Answer

No follow-up of any kind is needed

Answer

She should start HRT to prevent further bleeding

Answer

Refer for hysteroscopy regardless

uk-drcog MCQ (SBA): PMB with ET ≤4 mm - High NPV

A 52-year-old woman presents to the GP with postmenopausal bleeding (her last period was 3 years ago). She is not on HRT. A transvaginal ultrasound shows an endometrial thickness of 2.5 mm. According to current guidance, how should this result be interpreted?