ACOG updated its 2026 guidance on the role of transvaginal ultrasound when evaluating postmenopausal bleeding.

The update reviews how transvaginal ultrasound can be integrated into initial assessment and follow-up for selected patients, with testing tailored to the clinical context.

What it means for practice

Bleeding after menopause warrants medical assessment. Test selection depends on history, examination and bleeding characteristics.

Source: ACOG Clinical Practice Update