How, if at all, have the updated practice guidelines on postmenopausal bleeding regarding the use of transvaginal US AND endometrial biopsy changed your practice pattern?

What is your typical order of workup for postmenopausal bleeding?

• Refer to OBGYN without further workup
• Order transvaginal US, then refer to OBGYN pending results
• Order transvaginal US and refer to OBGYN for endometrial biopsy regardless of results
• Order a pregnancy test
• Order FSH, LH, and TSH testing
• Other