A 25-year-old woman presents with heavy menstrual bleeding (menorrhagia) which is significantly impacting her quality of life. She desires contracepti...

Question

A 25-year-old woman presents with heavy menstrual bleeding (menorrhagia) which is significantly impacting her quality of life. She desires contraception. Pelvic examination and ultrasound are normal. According to NICE guidelines, what is the recommended first-line pharmacological treatment?

Accepted Answer

Levonorgestrel-releasing intrauterine system (Mirena coil)

Answer

Tranexamic acid

Answer

Mefenamic acid

Answer

Combined Oral Contraceptive Pill (COCP)

Answer

Progestogen-only pill (POP)

ukmla MCQ (SBA): Heavy Menstrual Bleeding (Menorrhagia)

A 25-year-old woman presents with heavy menstrual bleeding (menorrhagia) which is significantly impacting her quality of life. She desires contraception. Pelvic examination and ultrasound are normal. According to NICE guidelines, what is the recommended first-line pharmacological treatment?