3 Months Of Intermenstrual in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16777
SMLE Question #16777
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 43-year-old G2P2 woman presents with 3 months of intermenstrual spotting between regular 28-day cycles. She is not using hormonal contraception and has no dysmenorrhea, postcoital bleeding, or systemic symptoms. Pelvic examination is normal. Transvaginal ultrasound shows a 13 mm well-circumscribed echogenic focal lesion within the endometrial cavity; uterus and adnexa are otherwise normal. What is the most appropriate management option?
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