A 52-year-old woman has 6 months of irregular heavy uterine bleeding. BMI is 38 kg/m2 and she has type 2 diabetes. Pregnancy test is negative and

Question

A 52-year-old woman has 6 months of irregular heavy uterine bleeding. BMI is 38 kg/m2 and she has type 2 diabetes. Pregnancy test is negative and pelvic examination shows no cervical lesion. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform endometrial biopsy

Answer

Perform Pap test as sole evaluation

Answer

Reassure that perimenopausal bleeding needs no evaluation

Answer

Start cyclic antibiotics

Answer

Order CA-125 as first test

AUB biopsy — USMLE Step 3 MCQ

A 52-year-old woman has 6 months of irregular heavy uterine bleeding. BMI is 38 kg/m2 and she has type 2 diabetes. Pregnancy test is negative and pelvic examination shows no cervical lesion. Which of the following is the most appropriate next step in management?