Question of the Week
For September 26, 2023
A 66-year-old woman with obesity, hypertension, and type 2 diabetes reports two episodes of vaginal bleeding during the past 6 months. On each occasion, light spotting lasted for approximately 3 days. She experienced natural menopause at age 53.
The remainder of her review of systems is negative. Physical examination is unremarkable. A transvaginal ultrasound shows a 7-mm endometrial stripe.
Which one of the following diagnostic approaches is most appropriate in this case?