Question

A 46-year-old woman presents with heavy menstrual bleeding. USG shows endometrial thickness of 16 mm. What is the next best step?

• A. Hysterectomy
• B. Endometrial biopsy
• C. HPV testing
• D. Progesterone therapy

Hint:

Perimenopausal abnormal uterine bleeding with thickened endometrium = endometrial biopsy.

Answer 1

The Correct Option is B

Concept: Abnormal uterine bleeding in a perimenopausal woman with increased endometrial thickness should be evaluated by endometrial biopsy to rule out hyperplasia or malignancy.

Step 1: Identify the age group.
A 46-year-old woman is in the perimenopausal age group, where abnormal bleeding must be evaluated carefully.

Step 2: Interpret endometrial thickness.
Endometrial thickness of: \[ 16 \text{ mm} \] is increased and needs tissue diagnosis.

Step 3: Choose the next best step.
Before giving hormonal therapy or doing hysterectomy, diagnosis should be confirmed by: \[ \text{Endometrial biopsy} \] Therefore, the correct answer is Endometrial biopsy.