Question

A 66-year-old woman presents with new onset postmenopausal bleeding. She has not had a period for 15 years. What is the most appropriate first-line investigation?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness

Answer

Pap smear only

Answer

CT scan of abdomen and pelvis

Answer

Serum FSH and LH levels

Answer

No investigation is required if bleeding stops

Practice question

A 66-year-old woman presents with new onset postmenopausal bleeding. She has not had a period for 15 years. What is the most appropriate first-line investigation?