Question

A 23-year-old woman with heavy, painful periods and chronic pelvic pain has an 8 cm ovarian mass consistent with an endometrioma. According to NICE, which is the first-line medical treatment for endometriosis pain?

Accepted Answer

Combined oral contraceptive pill

Answer

GnRH analogues

Answer

Laparoscopic surgical ablation

Answer

Mirena intrauterine system

Answer

High-dose progestogens (medroxyprogesterone)

Practice question

A 23-year-old woman with heavy, painful periods and chronic pelvic pain has an 8 cm ovarian mass consistent with an endometrioma. According to NICE, which is the first-line medical treatment for endometriosis pain?