Do you routinely pursue transvaginal ultrasound and/or endometrial biopsy for postmenopausal women with a single episode of spotting, or do you defer unless there are more persistent symptoms?

Do you order additional workup for postmenopausal women with a single episode of spotting?

• Yes, transvaginal US
• Yes, endometrial biopsy
• Yes, endometrial biopsy + transvaginal US
• Maybe, depends on the clinical situation (personal/family hx, time since menopause, etc.)
• Maybe, if the patient also have anemia
• No, not for one single episode
• Other