A 49-year-old female came to the gynecology department with complaints of intermenstrual bleeding for the past two months. She had no pain, night sweats or hot flashes. She claimed to be sexually active with no vaginal dryness.
She had three children. Medication history: Progesterone-only pill (for 5 years for contraception) Smear test: Normal Speculum examination: Slightly atrophic vagina and cervix with no cervical lesions or bleeding Uterus : Non-tender, normal-sized, axial and mobile. No adnexal masses found Lab investigations Parameter Patient Range Normal Range Hemoglobin 12.7 g/dL 11.7- 15.7 g/dL White cell count 4.5 X 109 /L 3.5-11 X 109 /L Platelets 401 X 109 /L 150-440 X 109 /L Source: Obstetrics and Gynaecology, Cecilia Bottomley and Janice Rymer * This image challenge is from the editorial team of Docplexus and is meant for educational purposes only.
