Question

A 32-year-old woman has heavy menstrual bleeding (menorrhagia) without structural abnormalities. She desires contraception as well. Which treatment is recommended first-line for both controlling bleeding and providing contraception?

Accepted Answer

Intrauterine levonorgestrel device (Mirena)

Answer

Tranexamic acid during periods

Answer

Combined oral contraceptive pill

Answer

Oral norethisterone

Answer

Surgical endometrial ablation

Practice question

A 32-year-old woman has heavy menstrual bleeding (menorrhagia) without structural abnormalities. She desires contraception as well. Which treatment is recommended first-line for both controlling bleeding and providing contraception?