Question

A 26-year-old woman presents with heavy menstrual bleeding interfering with quality of life. She is not trying to conceive. First-line pharmacological treatment per NICE?

Accepted Answer

Levonorgestrel-releasing intrauterine system (Mirena)

Answer

Tranexamic acid only

Answer

Norethisterone

Answer

Surgical endometrial ablation

Answer

GnRH analogues

Practice question

A 26-year-old woman presents with heavy menstrual bleeding interfering with quality of life. She is not trying to conceive. First-line pharmacological treatment per NICE?