Question

A 37-year-old woman complains of heavy menstrual bleeding (menorrhagia) impacting her quality of life. Ultrasound shows no structural abnormalities. Which first-line pharmacological management is recommended if she also desires contraception?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Tranexamic acid

Answer

Mefenamic acid

Answer

Combined oral contraceptive pill

Answer

Oral progestogens

Practice question

A 37-year-old woman complains of heavy menstrual bleeding (menorrhagia) impacting her quality of life. Ultrasound shows no structural abnormalities. Which first-line pharmacological management is recommended if she also desires contraception?