Obstetrics & Gynaecology – MCQ 52 – 55 year old postmenopausal woman with bleeding

The investigation of choice in a 55 year old postmenopausal woman who has presented with postmenopausal bleeding is:
A. Pap smear
B. Fractional curettage
C. Transvaginal ultrasound
D. Ca 125 estimation

Correct answer : B. Fractional curettage

A woman having post menopausal bleeding is to be considered as a case of endometrial carcinoma unless otherwise proved. Among the options given, the best method for diagnosis of endometrial carcinoma is fractional curettage.