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Obstetrics & Gynaecology — DRCOG MCQ

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EasyObstetrics & GynaecologyDRCOG

A 22-year-old woman presents with heavy menstrual bleeding. Her pelvic examination and ultrasound are normal. According to NICE guidelines, which first-line medication is recommended for medical management if contraception is not required?

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Correct answer: A — Tranexamic acid

Tranexamic acid is advised as a first-line treatment for heavy menstrual bleeding if contraception is not required. The levonorgestrel intrauterine system is first-line when contraception is acceptable. The combined oral contraceptive pill can help but is not the standard first-line specifically for heavy bleeding absent a contraceptive need. Desmopressin is for certain bleeding disorders like von Willebrand disease, not routine menorrhagia.

Reference: NICE Heavy menstrual bleeding guideline (NG88)