Diagnostic procedure for postmenopausal bleeding: (A) Endometrial aspiration, (B) Hysteroscopic guided biopsy, (C) Dilatation and curettage, (D) Ultrasound
Answer is B. Gold standard is hysteroscopic directed endometrial sampling. Next, best is endometrial aspiration as it gives a global endometrial sample by viue of suction. D and C and EB should never be done to diagnose the cause of postmenopausal bleeding. The most common cause overall is senile endometritis and the most common malignant cause is endometrial cancer