Question

A 45-year-old with heavy menstrual bleeding and dysmenorrhea has a uterus enlarged irregularly on examination. Ultrasound shows multiple fibroids. She desires fertility preservation. What is the recommended initial medical management to reduce bleeding?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

GnRH analogues

Answer

Tranexamic acid

Answer

Endometrial ablation

Answer

Hysterectomy

Practice question

A 45-year-old with heavy menstrual bleeding and dysmenorrhea has a uterus enlarged irregularly on examination. Ultrasound shows multiple fibroids. She desires fertility preservation. What is the recommended initial medical management to reduce bleeding?