What are the next clinical steps when prolonged abnormal uterine bleeding persists despite treatment with medroxyprogesterone acetate and tranexamic acid/mefenamic acid in a patient with an endometrial thickness of 12 mm?
Since the bleeding continues and your ultrasound shows an endometrial thickness of 12 mm, the next reassuring step is to look a bit closer at the lining of your uterus. Your doctor will likely recommend an endometrial biopsy, which is a simple, quick in-office procedure to sample the tissue. They might also suggest a hysteroscopy?using a tiny camera to look inside?or a dilation and curettage (D&C). These steps help us find the exact cause, such as a benign polyp.
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What are the next clinical steps when prolonged abnormal uterine bleeding persists despite treatment with medroxyprogesterone acetate and tranexamic acid/mefenamic acid in a patient with an endometrial thickness of 12 mm?