Heavy menstrual bleeding — UKMLA MCQ

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MediumObstetrics & GynaecologyHeavy menstrual bleedingUKMLA

A 45-year-old woman with heavy menstrual bleeding has an ultrasound showing fibroids distorting the uterine cavity. She desires to preserve fertility. Which treatment option is recommended first-line?

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Correct answer: E — Tranexamic acid

In women who wish to retain fertility and have fibroid-related heavy menstrual bleeding, tranexamic acid can be used to reduce bleeding. More invasive options like endometrial ablation or hysterectomy are considered if medical management fails or fertility is not desired.

Reference: NICE Heavy Menstrual Bleeding Guideline