Continuous Vaginal Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11799
SMLE Question #11799
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 45-year-old G3P3 woman presents with continuous vaginal bleeding for 15 days starting at her expected menses, passing clots and soaking 6–8 pads/day. She has progressive fatigue, orthostatic lightheadedness, and two near-syncope episodes. She is sexually active and not using contraception. She appears pale. Speculum exam shows active bleeding from the cervical os without visible masses or lacerations. What is the most appropriate next step in management?
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