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Postmenopausal bleeding — DRCOG MCQ

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HardGynaecological OncologyPostmenopausal bleedingDRCOG

A 59-year-old has vaginal dryness and dyspareunia after menopause. She has no history of breast cancer and does not want systemic treatment. What should be offered?

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Correct answer: C — Vaginal oestrogen for genitourinary symptoms

The best answer is “Vaginal oestrogen for genitourinary symptoms”. NICE recommends offering vaginal oestrogen for genitourinary symptoms associated with menopause. It may be used alone or with non-hormonal moisturisers or lubricants. Systemic therapy is not required when symptoms are localised and the woman does not want it.

Reference: NICE NG23: Menopause identification and management: https://www.nice.org.uk/guidance/ng23/chapter/recommendations