A 46-year-old P3L3 complains of menorrhagia since 3 months. Next line of management is?

A 46-year-old P3L3 complains of
menorrhagia since 3 months. Next line of
management is ?
a) D & C
b) Progesterone x 6 months
c) OC pills x 6 months
d) Hysterectomy
Correct Answer - A
Ans. A. D & C
In Patients with menorrhagia in perimenopausal age group (40+),
always make the diagnosis first before proceeding with any
treatment.
It is necessary to rule out endometrial hyperplasia and cancer in this
age group. Hence, histopathological examination of endometrium is
required, and therefore D 6C should be done first.