A 57-year-old postmenopausal woman with hypertension, diabetes, and a history of polycystic ovarian syndrome presented with complaints of vaginal bleeding for the last two weeks. The endometrial sampling shows a few fragments of the atrophic endometrium. Estrogen replacement therapy was started. However, the patient continues to have several episodes of vaginal bleeding three months later.

What is the next most appropriate step for this patient? * This patient case is from Docplexus Editorial Team for educational purposes only. Source: Case Files in Obstetrics and Gynecology The answer is posted in the comments section. Click here .