A 59-year-old female patient attended a maternity welfare clinic with complains of bloody discharge from the genital tracts. Postmenopause is 12 years. Vaginal examination revealed that external genital organs had signs of age involution, uterus cervix was not erosive, small amount of bloody discharge came from the cervical canal. Uterus is of normal size, uterine appendages are unpalpable. Fornices were deep and painless. What method should be applied for the diagnosis specification?

Answer options

1. Separated diagnosic curretage
2. Puncture of abdominal cavity through posterior vaginal fornix
3. Extensive colposcopy
4. Laparoscopy
5. Culdoscopy

Explanation

Dilation and curettage (D and C) are a procedure to remove tissue from inside the uterus. It is done to diagnose or treat uterine conditions. Indications include abnormal uterine bleeding, bleeding after menopause, abnormal endometrial cells, excessive bleeding after delivery by clearing out any placenta that remains in the uterus, remove a molar pregnancy, or remove cervical/uterine polyps, etc.