A 56-year-old nulliparous and menopausal for 4 years, presented to the clinic with intermittent vaginal bleeding for the last 4 weeks. The bleeding was scanty and bright in color.... A 56-year-old nulliparous and menopausal for 4 years, presented to the clinic with intermittent vaginal bleeding for the last 4 weeks. The bleeding was scanty and bright in color. Pelvic examination shows healthy vagina and cervix with a small amount of blood in the cervical os. Which of the following is the next step in management? A. No treatment necessary B. Dilation and curettage C. Endometrial biopsy D. Pelvic ultrasound
Understand the Problem
The question is asking for the next step in the management of a 56-year-old woman who has presented with intermittent vaginal bleeding. It is important to evaluate the potential causes of the bleeding, especially in the context of her being postmenopausal. We need to consider the appropriate clinical protocols for management after examining the given symptoms and current clinical findings.
Answer
Endometrial biopsy is the next step in management.
The next step in management is an endometrial biopsy.
Answer for screen readers
The next step in management is an endometrial biopsy.
More Information
Postmenopausal bleeding is never normal and can be a sign of more serious conditions, including endometrial cancer. Therefore, it is important to begin with an endometrial biopsy to rule out malignancy.
Tips
A common mistake is assuming that all postmenopausal bleeding is minor without further investigation. Always consider potential serious causes.
Sources
- Bleeding After Menopause Could Be a Problem. Here's ... - acog.org
- Should you be concerned about postmenopausal bleeding? - mayoclinichealthsystem.org
- 5 Things to Know About Postmenopausal Bleeding - foxchase.org
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