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
d. Hysterectomy
.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.
Endometrial Biopsy
•Considered for those younger than 45 years with chronic excess oestrogen
exposure (Endogenous or exogenous).
•Failed medical management and persistent AUB.