Q:

A 44 year old woman complains of heavy bleeding per vagina. Transvaginal US (ultra sonography) was done and normal. Which of the following would be the most appropriate investigation for her?

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A 44 year old woman complains of heavy bleeding per vagina. Transvaginal US (ultra

sonography) was done and normal. Which of the following would be the most

appropriate investigation for her?


  1. Hysterectomy
  2. Endometrial biopsy
  3. CBC
  4. High vaginal swab
  5. Coagulation profile

All Answers

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The key is E. Coagulation profile. [Transvaginal US is normal i.e. no endometrial hyperplasia, no

fibroid or obvious cause for heavy bleeding was found. So now most appropriate investigation should be

coagfulation profile].

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