Hormone Replacement Therapy · NCLEX Exam

What is the next best action if a 52-year-old woman on hormone replacement reports new-onset irregular vaginal bleeding?

  1. Reassure her, since bleeding is an expected effect of long-term HRT
  2. Evaluate promptly for endometrial pathology
  3. Empirically increase the estrogen dose to suppress the bleeding
  4. Switch her immediately to progestogen-only therapy instead
Show answer and explanation

Correct answer: Evaluate promptly for endometrial pathology

Unscheduled uterine bleeding in a woman on MHT signals need for further evaluation (e.g., endometrial assessment) rather than being automatically benign.

Difficulty: Medium Question 6 of 18

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