Question

A 47-year-old woman presents with a 9-month history of heavy, irregular menstrual bleeding. She has a BMI of 34 kg/m² and hypertension. Pregnancy test is negative. What is the most appropriate next investigation?

Accepted Answer

Endometrial biopsy

Answer

Start combined oral contraceptive pill without further evaluation

Answer

Pelvic ultrasound only

Answer

Serum FSH and LH

Answer

Hysteroscopy as first-line

Practice question

A 47-year-old woman presents with a 9-month history of heavy, irregular menstrual bleeding. She has a BMI of 34 kg/m² and hypertension. Pregnancy test is negative. What is the most appropriate next investigation?