Question

A 43-year-old woman presents with heavy, regular menstrual bleeding leading to iron deficiency anaemia. Ultrasound shows multiple intramural uterine fibroids, with the largest measuring 4 cm. She wishes to preserve fertility. What is the most appropriate initial management?

Accepted Answer

Levonorgestrel-releasing intrauterine system

Answer

Hysterectomy

Answer

GnRH agonist therapy for long-term use

Answer

Endometrial ablation

Answer

No treatment is required

Practice question

A 43-year-old woman presents with heavy, regular menstrual bleeding leading to iron deficiency anaemia. Ultrasound shows multiple intramural uterine fibroids, with the largest measuring 4 cm. She wishes to preserve fertility. What is the most appropriate initial management?