# NEW CPU: PMB Bleed Eval

Page: https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380/new-cpu-pmb-bleed-eval
Text version: https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380/new-cpu-pmb-bleed-eval.md
Podcast: [Dr. Chapa’s OBGYN Clinical Pearls](https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380)
Published: 2026-04-18T11:00:00+00:00
Episode link: https://podcasters.spotify.com/pod/show/dr-hector-chapa/episodes/NEW-CPU-PMB-Bleed-Eval-e3i2glt
Audio file: https://traffic.megaphone.fm/APO9097824550.mp3
Processing state: processed
JSON: https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-clinical-pearls-334380/episodes/new-cpu-pmb-bleed-eval
Duration seconds: 1166

## Resource

In the ACOG CO 734 from 2018, it states, “Transvaginal ultrasonography usually is sufficient for an initial evaluation of postmenopausal bleeding if the ultrasound images reveal a thin endometrial echo (less than or equal to 4 mm), given that an endometrial thickness of 4 mm or less has a greater than 99% negative predictive value for endometrial cancer”. But medicine moves fast. This is NO LONGER the guideline. In this episode, we will summarize the new ACOG CPU on the primary evaluation of a patient with postmenopausal vaginal bleeding. Is ultrasound still the single first line test used for evaluation? Listen in for details. 1. Updated Guidance Regarding The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Individuals With Postmenopausal Bleeding 2. The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women With Postmenopausal Bleeding

## Actions

- request_transcript: `POST https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-clinical-pearls-334380/episodes/new-cpu-pmb-bleed-eval/transcription-requests` — Idempotently request low-priority transcript generation for this episode.
- read_markdown: `GET https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380/new-cpu-pmb-bleed-eval.md` — Read the agent-friendly Markdown representation of this episode resource.

A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed.

## Transcript

Full transcripts are not published on public pages unless there is a clear rights basis.