2 Weeks Of New in Obstetrics & Gynecology — Case | Gynecologic Oncology | SMLE Q#7173
SMLE Question #7173
Obstetrics & Gynecology
Gynecologic Oncology
Last updated: February 2026
A 60-year-old postmenopausal woman with long-standing type 2 diabetes mellitus and hypertension presents with 2 weeks of new vaginal bleeding. She has obesity (BMI 42 kg/m²) and is not using hormone replacement therapy. Speculum examination shows no cervical lesions. Transvaginal ultrasound shows an endometrial thickness of 9 mm. What is the most likely underlying cause of her bleeding?
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