Question

A 59-year-old postmenopausal woman presents with a single episode of painless vaginal bleeding. She is otherwise well. Which investigation is most appropriate as an initial step?

Accepted Answer

Order endometrial biopsy or refer for biopsy to rule out malignancy

Answer

Reassure and observe

Answer

Start oestrogen therapy

Answer

Order cervical cytology only

Answer

Treat empirically for infection

Practice question

A 59-year-old postmenopausal woman presents with a single episode of painless vaginal bleeding. She is otherwise well. Which investigation is most appropriate as an initial step?