Question

A 58-year-old woman presents with postmenopausal bleeding 2 years after cessation of menses. She is not on hormone therapy. What is the most appropriate initial investigation?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness

Answer

Reassurance and watchful waiting

Answer

Pap smear only

Answer

Serum FSH and LH

Answer

Pelvic MRI

Practice question

A 58-year-old woman presents with postmenopausal bleeding 2 years after cessation of menses. She is not on hormone therapy. What is the most appropriate initial investigation?