Image IQ: Abnormal Vaginal Bleeding

Can you identify the cause of abnormal vaginal bleeding in this middle-aged woman?

These images are from a middle-aged woman with abnormal vaginal bleeding. What’s your diagnosis?
(Images courtesy of Ravi Kadasne, MD)

Uterine fibroid
Endometrial polyp
Endometrial hyperplasia
Dermoid cyst of the ovary
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