Question

A 45-year-old woman complains of heavy menstrual bleeding (HMB). She is otherwise healthy and has completed her family. Examination is normal. According to NICE guidelines, which is the first-line pharmacological option for treating HMB if no contraindications?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Tranexamic acid

Answer

Oral combined contraceptive pill

Answer

Endometrial ablation

Answer

Oral norethisterone

Practice question

A 45-year-old woman complains of heavy menstrual bleeding (HMB). She is otherwise healthy and has completed her family. Examination is normal. According to NICE guidelines, which is the first-line pharmacological option for treating HMB if no contraindications?