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The impact of maternal age on aneuploidy in oocytes: Reproductive consequences, molecular mechanisms, and future directions

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Bleeding after six months of continuous MHT or unscheduled bleeding in women taking cyclical MHT should be investigated with pelvic ultrasound If there is a high suspicion of endometrial cancer, arrange a pipelle biopsy while awaiting the ultrasound results Post-menopausal bleeding caused by atrophic vaginitis can be managed with vaginal moisturisers, lubricants or topical vaginal oestrogens