Question

What is the most common cause of post-menopausal anovulatory DUB? How do you diagnose and treat it?

a. Cause: Uterine fibroids, Diagnosis: Ultrasound, Treatment: Hysterectomy
b. Cause: Polycystic ovary syndrome (PCOS), Diagnosis: Hormonal evaluation, Treatment: Ovulation induction
c. Cause: Endometrial hyperplasia, Diagnosis: Endometrial biopsy, Treatment: Hormone therapy
d. Cause: Endometrial atrophy, Diagnosis: Atrophic changes on biopsy, Treatment: Hormone therapy

Answer 1

The most common cause of post-menopausal anovulatory DUB is endometrial hyperplasia, which is diagnosed through an endometrial biopsy and treated with hormone therapy.

Step-by-step explanation:

The most common cause of post-menopausal anovulatory dysfunctional uterine bleeding (DUB) is endometrial hyperplasia. This is a condition where the lining of the uterus becomes thicker than normal. The diagnosis of endometrial hyperplasia is usually made through an endometrial biopsy, which involves obtaining a small sample of the uterine lining for examination. Treatment for endometrial hyperplasia typically involves hormone therapy to regulate the hormonal imbalances that contribute to the condition.