A 35-year-old female attends gynae OPD with h/o excessive bleeding since 6 months, not controlled with non hormonal drugs. USG and clinical examinations reveal no abnormality. Next step is?*
a. Endometrial sampling
b. Endometrial ablation
c. Hormonal therapy
.Correct Answer A*
Ans. a. Endometrial sampling
Ref: Willaims Gynaecology 3rd edition, Page no. 705
ACOG recommends pipelle office endometrial biopsy for D and C sample for women older than 45 years with AUB.
•Considered for those younger than 45 years with chronic excess oestrogen
exposure (Endogenous or exogenous).
•Failed medical management and persistent AUB.