A 34-year-old woman comes to the clinic because of left ...
The first step in a workup for endometrial hyperplasia is to perform an easy office Pipelle biopsy of the endometrium and send it for pathologic evaluation. If this returns as normal, you can consider other reasons for her bleeding, which may include submucosal fibroids, polyps, anovulation, or perimenopause. ... Mild GER often responds to ... ................
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