A 66‑year‑old woman reports new postmenopausal bleeding. She stopped menopausal hormone therapy five years ago. Speculum examination shows no

Question

A 66‑year‑old woman reports new postmenopausal bleeding. She stopped menopausal hormone therapy five years ago. Speculum examination shows no cervical lesion and cervical screening is up to date. Haemoglobin is 121 g/L. What is the most appropriate investigation?

Accepted Answer

Transvaginal ultrasound to assess endometrial thickness with gynaecology referral based on findings

Answer

Measure follicle‑stimulating hormone to confirm menopause

Answer

Treat empirically with antibiotics

Answer

Restart menopausal hormone therapy

Answer

Reassure and observe if bleeding stops

Postmenopausal bleeding — RACGP Fellowship MCQ

A 66‑year‑old woman reports new postmenopausal bleeding. She stopped menopausal hormone therapy five years ago. Speculum examination shows no cervical lesion and cervical screening is up to date. Haemoglobin is 121 g/L. What is the most appropriate investigation?

A 66‑year‑old woman reports new postmenopausal bleeding. She stopped menopausal hormone therapy five years ago. Speculum examination shows no cervical lesion and cervical screening is up to date. Haemoglobin is 121 g/L. What is the most appropriate investigation?