25-year-old Nulligravid in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18811
SMLE Question #18811
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: March 2026
A 25-year-old nulligravid woman has 6 months of abnormal uterine bleeding. Transvaginal ultrasound shows a thickened endometrium. Office endometrial biopsy shows endometrial intraepithelial neoplasia (atypical endometrial hyperplasia) without evidence of invasion. She wishes to preserve fertility and has no contraindications to hormonal therapy. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.