2 Weeks Of Continuous in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12228

SMLE Question #12228

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 29-year-old nulliparous woman presents with 2 weeks of continuous heavy vaginal bleeding with large clots, soaking a pad every 1–2 hours. Her last normal menstrual period was 3–4 months ago, and for the past year her cycles have been very irregular, occurring every 3–4 months. She has morbid obesity and type 2 diabetes mellitus. Pelvic examination shows a normal-sized, nontender uterus with no adnexal masses. What is the most likely diagnosis?

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