Chronic Anovulatory Bleeding Patterns in Obstetrics & Gynecology — 45yo Woman | General Gynecology | SMLE Q#18554

SMLE Question #18554

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-001

Last updated: February 2026
A 45-year-old woman (G3P3) is seen in a gynecology clinic for irregular, infrequent menstrual cycles for the past 2 years. She has obesity and long-standing clinical features of hyperandrogenism with chronic anovulatory bleeding patterns. She is not using hormonal contraception. She asks about her risk of developing endometrial cancer. Which of the following factors in her history is most strongly associated with an increased risk of endometrial cancer?

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