Problem:
A 58-year-old G3 P3 postmenopausal female has recently experienced vaginal spotting. Her last menstrual period occurred at age 49. Her medical history is significant for type 2 diabetes mellitus and obesity. She is a lifelong smoker. Today, she is afebrile. She is 63 inches tall and weighs 160 lbs. Her blood pressure is 150/84 mmHg. Examination is unremarkable. Which of the following is accurate concerning evaluation and management of this patient? A. Tranexamic acid may be useful for treatment. B. Hysterectomy is the recommended treatment for women with endometrial hyperplasia. C. All women with uterine hyperplasia should be referred to a gynecologist. D. Endometrial biopsy is indicated.