Large Clots in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11015
SMLE Question #11015
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 42-year-old multiparous woman has 8 months of progressively heavier regular menses with large clots, needing pad changes every 1–2 hours during the first 2 days, and increasing pelvic pressure. She had an open myomectomy 6 years ago for multiple intramural uterine masses. Pelvic examination shows a mobile, non-tender uterus enlarged to about 12-week size with an irregular contour. What is the most appropriate next step in evaluation?
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