Question

A 46-year-old woman with heavy menstrual bleeding and iron-deficiency anaemia seeks treatment. No fibroids >3 cm on ultrasound and no contraception needed. First-line pharmacological option?

Accepted Answer

Levonorgestrel IUS refused; offer tranexamic acid

Answer

Combined oral contraceptive

Answer

NSAIDs only

Answer

Oral progestogen luteal phase only

Answer

Immediate endometrial ablation

Practice question

A 46-year-old woman with heavy menstrual bleeding and iron-deficiency anaemia seeks treatment. No fibroids >3 cm on ultrasound and no contraception needed. First-line pharmacological option?