When to Refer to a Specialist A referral to a gynecologist is often needed if: The cause of bleeding is not clear The patient is postmenopausal There is abnormal thickening of the endometrium Bleeding continues despite stopping semaglutide There is suspicion of cancer or precancerous conditions Gynecologists can perform more detailed evaluations, such as hysteroscopy, and offer treatment options like hormonal therapy, procedures to remove fibroids or polyps, or surgical care if needed
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