Today’s Quiz 10/2/22 Leave a Comment / Blog / By Dr Megha Mishra 49 12 z5 Endometrial Hyperplasia 1 / 2 1. Q7 EH A woman presents with Abnormal uterine bleeding. Her BMI is 39. Endometrial biopsy reveals Endometrial hyperplasia without atypia. She received oral medroxyprogesterone acetate for 4 months and now she is symptom free. What advice will you give her ? A. Continue progesterone for 2 more months. Then return for biopsy at 6 month and 12 months from initial biopsy. Followed by annual biopsies. B. Annual biopsy for 3 years. C. Continue oral progesterone for 2 more months. Then stop. Return if any menstrual symptoms. D. Continue progesterone for 2 more months. Then return for biopsy at 6 month and 12 months from initial biopsy. If both biopsies are normal, then discharge. In women at higher risk of relapse, such as women with a body mass index (BMI) of 35 or greater or those treated with oral progestogens, 6-monthly endometrial biopsies are recommended. Once two consecutive negative endometrial biopsies have been obtained then long-term follow-up should be considered with annual endometrial biopsies. 2 / 2 2. Q4 EH What is the recommended treatment for Endometrial Hyperplasia with Atypia ? A. Endometrial Ablation/ Trans-cervical resection of the endometrium B. Oral Progesterones C. Levonorgestrel Intrauterine System D. Total Hysterectomy Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer. Your score is LinkedIn Facebook Twitter Restart quiz Rate this quiz Send feedback
