3 Months Of Intermittent in Obstetrics & Gynecology — 60yo Woman | General Gynecology | SMLE Q#10986
SMLE Question #10986
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 60-year-old woman (G3P3) presents with 3 months of intermittent painless postmenopausal vaginal bleeding, up to 2–3 pads/day. Menopause occurred at age 52, with no bleeding until this episode. Speculum and bimanual examinations show no cervical lesion and a normal-sized, non-tender uterus. Transvaginal ultrasound shows a stable 5-cm intramural fibroid and an endometrium thicker than expected for postmenopause. What is the most appropriate next step in management?
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