58-year-old Postmenopausal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#441
SMLE Question #441
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 58-year-old postmenopausal woman has 2 weeks of painless vaginal bleeding after 7 years of amenorrhoea. She is not using hormone replacement therapy and takes no regular medications. Pelvic examination shows a small amount of blood in the vaginal vault, a closed cervical os, and no uterine enlargement or tenderness. A urine pregnancy test is negative. What is the most appropriate medication to reduce bleeding while diagnostic evaluation is arranged?
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