Would you recommend EMB for a post-menopausal patient experiencing monthly spotting if TVUS showed an endometrial thickness of 3mm?

A good rule of thumb for primary care physicians is that any and all postmenopausal bleeding (PMB) needs an EMB, regardless of size of endometrial stripe on TVUS, in order to rule out endometrial hyperplasia or cancer. While there are other etiologies for PMB (e.g. cervical dysplasia/cancer, vaginal atrophy, cervical/uterine polyps, etc.), an EMB is fairly low-cost and can often be done quickly in the office (by PCP or GYN).

If a postmenopausal patient without vaginal bleeding is found to have a...