<prompt> 45 years female with 3 months menorrhagia. USG showing 2 cm submucosal fibroid. First line of management isOcp for 3 monthsProgesterone for 3 monthsEndometrial samplingHysterectomy  <response>: American College of Obstetricians and Gynecologists recommends endometrial assessment in any woman older than 45 years with AUB, and in those younger than 45 years with a history of unopposed estrogen exposure such as seen in obesity or polycystic ovarian syndrome PCOS, failed medical management, and persistent AUB. Then management is done accordingly depending upon HPE repo. Ref:- Williams gynecology 3rd Edition; Pg num:- 184 