To determine the cause, we may recommend: Blood Tests: For anaemia, thyroid issues, or clotting disorders. Pap Smear: To evaluate cervical cells. Endometrial Biopsy: Sampling tissue from your uterus. Ultrasound: Imaging of your uterus, ovaries, and pelvis. Further testing could include: Colposcopy: Detailed examination of your cervix and vagina. Hysteroscopy: Close inspection of your uterus. Sonohysterography: Fluid-enhanced ultrasound for uterine lining assessment.