A 51-year-old woman, menopausal for a year and a half, who consults for vaginal spotting of 2 weeks' evolution. She reports that the spotting is less than a menstrual period. The ultrasound shows a 7 mm endometrium. Mark the correct option:
The endometrium is thickened for a menopausal woman (some guidelines put the limit at 5 and others at 3mm). And the first complementary test to perform would be an endometrial biopsy. If this is not decisive, hysteroscopy will be considered as a second option.
The endometrium is thickened and in view of the patient's symptoms, an endometrial biopsy is taken with a Cornier cannula.
The endometrium is not thickened so she is prescribed tranexamic acid and ambulatory follow-up.
Indications for diagnostic hysteroscopy without the need for endometrial biopsy.
The endometrium is not thickened, but since she has clinical signs of metrorrhagia, an endometrial biopsy is indicated.
The endometrium is thickened for a menopausal woman (some guidelines put the limit at 5 and others at 3mm). And the first complementary test to perform would be an endometrial biopsy.