Step II Postmenopausal bleeding

Started by yalemd
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yalemd

Full Member
10+ Year Member
What is the next step in post.menopausal bleeding? Is it U/S or Endomet. sampling?

You know it is DDx for endometiral cancer. So to role it out do endomet.sampling. But some says better to start with U/S as if the enomet.strip thinkness less than 5 cm is less likely to be associated with cancerous changes and won't get you significant tissue on Bx.

Based on that what do you think it is better to go with fisrt?

Thanks
 
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