Question

A 37-year-old woman with a history of dysmenorrhoea and heavy menstrual bleeding is diagnosed with fibroids (intramural, 3 cm). She desires fertility. Which initial medical management can be offered to help reduce heavy bleeding?

Accepted Answer

C. Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

A. Hysterectomy

Answer

B. Gonadotropin-releasing hormone (GnRH) analogues indefinitely

Answer

D. Endometrial ablation

Answer

E. Uterine artery embolization

Practice question

A 37-year-old woman with a history of dysmenorrhoea and heavy menstrual bleeding is diagnosed with fibroids (intramural, 3 cm). She desires fertility. Which initial medical management can be offered to help reduce heavy bleeding?