A 52-year-old woman with a known history of uterine fibroids visited her gynecologist with dysfunctional uterine bleeding. She denied having abdominal pain, nausea, vomiting, diarrhea, melena, or change in her weight. Her father had a history of colon cancer, but the remainder of her history was otherwise noncontributory. On examination, the patient was well nourished. Her abdomen was soft and nontender with no palpable mass.