Question

A 40-year-old nulliparous woman presents with heavy menstrual bleeding (HMB) and fibroids measuring 3 cm submucosal. She desires future fertility. According to NICE, what is the recommended first-line medical management for HMB related to fibroids?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Combined oral contraceptive pill

Answer

Uterine artery embolization

Answer

Hysterectomy

Answer

GnRH analogues

Practice question

A 40-year-old nulliparous woman presents with heavy menstrual bleeding (HMB) and fibroids measuring 3 cm submucosal. She desires future fertility. According to NICE, what is the recommended first-line medical management for HMB related to fibroids?