Question

A 42-year-old woman with heavy menstrual bleeding (HMB) fails medical therapy (tranexamic acid, hormonal treatments). According to NICE, what is the recommended next investigation before surgical intervention?

Accepted Answer

Hysteroscopy and endometrial biopsy

Answer

Immediate hysterectomy

Answer

Pelvic ultrasound

Answer

Endometrial ablation without biopsy

Answer

MRI pelvis

Practice question

A 42-year-old woman with heavy menstrual bleeding (HMB) fails medical therapy (tranexamic acid, hormonal treatments). According to NICE, what is the recommended next investigation before surgical intervention?