1 Year Of Progressively in Obstetrics & Gynecology — 40yo Woman | General Gynecology | SMLE Q#5632
SMLE Question #5632
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 40-year-old woman presents with 1 year of progressively heavier regular menses, soaking pads every 1–2 hours during the first 2 days. She reports mild fatigue and no weight loss. Bimanual examination shows a firm, irregular, midline uterus enlarged to about 12-week size; cervix and adnexa are normal. She has not had prior pelvic imaging. What is the best initial investigation to further evaluate this condition?
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