A 65-year-old woman with postmenopausal bleeding was referred to an outpatient hysteroscopy clinic. She was found to have a normal endometrium and a 2 cm endometrial polyp on hysteroscopic assessment. She is otherwise fit and well except for mild osteoarthritis. She is not on any regular medications. Clinical examination is otherwise unremarkable. Recent blood tests (FBC, U&Es) were also normal.
With regards to management options, which of the following is the most appropriate?
- A. Expectant management should be considered
- B. Blind avulsion should be offered
- C. Hysteroscopic resection or morcellation should be performed under general anaesthetic
- D.Dialatation and curettage should be performed if the polyp is too big to be removed.