30th April 2024

A 40-year-old woman presents with a history of heavy and prolonged menstrual bleeding for the past six months.

A 40-year-old woman presents with a history of heavy and prolonged menstrual bleeding for the past six months. She also reports frequent urination and pelvic pressure. She has a regular menstrual cycle and is not currently sexually active. Pelvic examination reveals an enlarged, irregularly shaped uterus. Her Pap smear from last year was normal.

Which is the most appropriate initial diagnostic investigation to evaluate for uterine fibroids in this patient?