A 55-year-old gravida 1, para 1001 presents to the office with complaints of new-onset vaginal bleeding. She has not had a menstrual period since undergoing an endometrial ablation (EA) seven years ago. The vaginal bleeding started five days ago and is intermittent. She has been bleeding through three to four regular maxi-pads per day. Review of systems is negative for dizziness, fatigue, shortness of breath, and pelvic pain. She is currently sexually active with her husband, who underwent a vasectomy after the birth of their child. Her past medical history is significant for regular, heavy menstrual cycles. She denies a history of bleeding disorders, diabetes, or hypertension. She has no other pertinent surgical history. She has no family history of endometrial cancer. She is not taking any medications and has no drug allergies.