Question

A 25-year-old woman complains of heavy menstrual bleeding (menorrhagia) impacting her quality of life. She has normal pelvic ultrasound. Which first-line medical management is recommended by NICE if contraception is also desired?

Accepted Answer

Levonorgestrel intrauterine system

Answer

Tranexamic acid

Answer

Mefenamic acid

Answer

Combined oral contraceptive pill

Answer

Oral progesterone only

Practice question

A 25-year-old woman complains of heavy menstrual bleeding (menorrhagia) impacting her quality of life. She has normal pelvic ultrasound. Which first-line medical management is recommended by NICE if contraception is also desired?