A 65 year old lady presents with single episode of Post Menopausal bleeding. Next step in management should be?: (A) Fractional Curettage, (B) Pap Smear, (C) Hysterectomy straightaway, (D) Endometrial biopsy
Answer is A. Fractional Curettage REF: Shaw's 13th ed p. 67 To rule out malignancy a fractional curettage/ uterine aspiration is to be done; however, gold standard is hysteroscopic evaluation and selective biopsy.