A 43-year-old woman presents to the GP with regular but increasingly heavy menstrual bleeding over 8 months. She has a BMI of 22 kg/m² and a normal pe...

Question

A 43-year-old woman presents to the GP with regular but increasingly heavy menstrual bleeding over 8 months. She has a BMI of 22 kg/m² and a normal pelvic examination. FBC shows haemoglobin 110 g/L. According to NICE NG88, which initial investigations should the GP arrange?

Accepted Answer

Full blood count (already done), and pelvic ultrasound only if the uterus is palpable abdominally or pelvic examination is abnormal

Answer

No investigations needed - proceed directly to treatment

Answer

Coagulation screen and von Willebrand factor levels

Answer

Hysteroscopy and endometrial biopsy

Answer

CT abdomen and pelvis

uk-drcog MCQ (SBA): HMB Initial Investigations

A 43-year-old woman presents to the GP with regular but increasingly heavy menstrual bleeding over 8 months. She has a BMI of 22 kg/m² and a normal pelvic examination. FBC shows haemoglobin 110 g/L. According to NICE NG88, which initial investigations should the GP arrange?