# Vaginal Bleeding in a Peri-Menopausal Woman

## TL;DR

A 51-year-old perimenopausal woman with vaginal bleeding was diagnosed with a molar pregnancy using point-of-care ultrasound.

## Contribution

This case highlights the utility of transvaginal POCUS in the rapid diagnosis of molar pregnancies in perimenopausal women.

## Key findings

- Transvaginal POCUS revealed findings concerning for a molar pregnancy.
- The use of POCUS led to prompt diagnosis and treatment initiation.
- Vaginal bleeding in perimenopausal women can be effectively evaluated with POCUS.

## Abstract

Point of care ultrasound (POCUS) is a useful modality to initially identify a molar pregnancy. In this case, we describe a 51-year-old perimenopausal woman who presented to the emergency department (ED) with vaginal bleeding. A transvaginal POCUS was performed, revealing findings concerning for a molar pregnancy. These findings led to prompt diagnosis and treatment.