What is the best diagnostic approach to postmenopausal vaginal bleeding in women taking hormone replacement therapy?

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What is the best diagnostic approach to postmenopausal vaginal bleeding in women taking hormone replacement therapy?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/2817

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Title: What is the best diagnostic approach to postmenopausal vaginal bleeding in women taking hormone replacement therapy?
Author: Kerns, J. William; Mabry, Sandi
Keywords: endometrial biopsy
hormone replacement therapy (HRT)
vaginal bleeding
Date: 2001-10
Publisher: Family Physicians Inquiries Network
Abstract: Women on standard estrogen/progestin hormone replacement therapy (HRT) regimens frequently have irregular bleeding during the first 12 months of treatment. Therefore, those taking HRT should usually be evaluated after 1 year of treatment if bleeding continues. (Grade of recommendation: C, based on case series.) Evaluation of this bleeding should begin with a pelvic examination and Papanicolaou (Pap) test (if not done in the previous 12 months), then transvaginal ultrasound (TVUS), followed by endometrial biopsy or hysteroscopy, if indicated. (Grade: B, based on a systematic review of studies.)
URI: http://hdl.handle.net/10355/2817

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