A 54-year-old female patient consulted a doctor about bloody discharges from the genital tracts after 2 years of amenorrhea. USI and bimanual examination revealed no genital pathology. What is the tactics of choice?

Answer options

1. Fractional biopsy of lining of uterus and uterine mucous membranes
2. Hysterectomy
3. Estrogenic haemostasia
4. Styptic drugs
5. Contracting drugs

Explanation

Postmenopausal bleeding can be caused by cancer of the uterus, cancer of the cervix/vagina, endometrial atrophy/vaginal atrophy, uterine fibroids/polyps, endometritis, and so on. It is better to do more tests like a fractional biopsy of the lining of the uterus and uterine mucus to identify the cause.