Question

A 62-year-old woman presents with a 3-month history of postmenopausal bleeding. She reached menopause at 52 and takes no hormone replacement. According to Canadian gynaecology guidelines, what is the most appropriate initial investigation?

Accepted Answer

Transvaginal ultrasound and/or endometrial biopsy

Answer

Reassure and observe for 6 months

Answer

Begin combined hormone replacement therapy

Answer

Pap test only

Answer

Serum FSH and estradiol levels

Practice question

A 62-year-old woman presents with a 3-month history of postmenopausal bleeding. She reached menopause at 52 and takes no hormone replacement. According to Canadian gynaecology guidelines, what is the most appropriate initial investigation?