A 40-year-old woman presents to the midwifery clinic with a 3-month history of heavy and irregular menstrual periods. Which of the following is the priority intervention?

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Perform a transvaginal ultrasound. Answer: Perform a transvaginal ultrasound The primary concern with heavy and irregular menstrual periods could be endometrial hyperplasia or carcinoma, so assessing the endometrial lining is critical. While oral contraceptives may help to regulate menstruation, it is essential to first rule out potential serious conditions like endometrial pathology. Endometrial ablation can be considered after other causes have been ruled out. Iron supplementation addresses blood loss but does not address the underlying cause of the irregular bleeding.

A 40-year-old woman presents to the midwifery clinic with a 3-month history of heavy and irregular menstrual periods. Which of the following is the priority intervention?

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