Question

A 32-year-old woman presents with heavy menstrual bleeding affecting QoL, no red flags, Hb 110 g/L. First-line medical treatment in primary care if contraception acceptable?

Accepted Answer

Levonorgestrel intrauterine system (LNG-IUS)

Answer

Tranexamic acid only

Answer

Combined OCP only

Answer

Norethisterone luteal phase

Answer

GnRH analogues

Practice question

A 32-year-old woman presents with heavy menstrual bleeding affecting QoL, no red flags, Hb 110 g/L. First-line medical treatment in primary care if contraception acceptable?