A 32yo presents with heavy blood loss, US: uterine thickness>14mm. What is the best possible
management for her?
a. COCP
b. UAE
c. Hysteroscopy myomectomy
d. Abdominal myomectomy
e. Endometrial ablation
Answer: A
An endometrial thickness of 5 mm or more is considered abnormal in a postmenopausal woman with vaginal bleeding. This woman is pre-menopausal, she has menorrhagia. No indications for invasive procedures are given.