Question

A 61-year-old postmenopausal woman is sent for ultrasound for vaginal bleeding. The endometrial echo complex is well seen and the maximum thickness is 3 mm. What do you recommend?

Answer 1

A 61-year-old postmenopausal woman with a 3 mm endometrial thickness on ultrasound is generally a reassuring finding, but postmenopausal bleeding should always be further evaluated to rule out serious conditions like endometrial cancer through a clinical evaluation and possible biopsy.

Step-by-step explanation:

The subject in question pertains to a 61-year-old postmenopausal woman experiencing vaginal bleeding, who has undergone an ultrasound revealing a 3 mm endometrial thickness. Considering the patient's age and menopausal status, the finding of a thin endometrium (less than 4mm) is generally reassuring and suggests a low likelihood of endometrial cancer. However, any postmenopausal bleeding warrants further evaluation to exclude malignancy or other pathologies. In this case, the next step in management would typically include a thorough clinical evaluation, possibly including a repeat ultrasound to confirm the endometrial thickness, and an endometrial biopsy to rule out hyperplasia or malignancy. Depending on the clinical context and the patient's history, further management and follow-up should be guided by the findings of this additional workup.