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Menstrual Cycle & Abnormal Uterine Bleeding — Practice

Q1.Moderate#Clinical
A 47-year-old woman with class III obesity and chronic anovulation presents with postmenopausal-pattern abnormal uterine bleeding. Endometrial biopsy shows complex atypical hyperplasia. She has completed her family. What is the management of choice?
ATotal hysterectomy with bilateral salpingo-oophorectomy
BEndometrial ablation
CLevonorgestrel intrauterine system
DCyclical oral progestogens for 6 months