1 Month Of Painless in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18542
SMLE Question #18542
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 54-year-old postmenopausal woman presents to a gynecology clinic with 1 month of painless vaginal bleeding. She has no vaginal discharge or postcoital bleeding. Pelvic examination shows an atrophic vagina and a normal-appearing cervix without visible lesions or friability. Transvaginal ultrasound shows an endometrial thickness of 7 mm. What is the most appropriate next diagnostic step?
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