A 38-year-old woman presents with heavy menstrual bleeding and iron-deficiency anaemia. Pelvic ultrasound shows multiple fibroids. She does not desire...

Question

A 38-year-old woman presents with heavy menstrual bleeding and iron-deficiency anaemia. Pelvic ultrasound shows multiple fibroids. She does not desire further fertility. According to SOGC fibroid guidelines, which medical therapy is a reasonable first-line option to reduce bleeding?

Accepted Answer

Combined oral contraceptive pill

Answer

Routine GnRH agonist therapy for long-term use

Answer

Immediate hysterectomy

Answer

No treatment; fibroids are always benign

Answer

High-dose androgens

ca-mccqe1 MCQ (SBA): Uterine fibroids and menorrhagia

A 38-year-old woman presents with heavy menstrual bleeding and iron-deficiency anaemia. Pelvic ultrasound shows multiple fibroids. She does not desire further fertility. According to SOGC fibroid guidelines, which medical therapy is a reasonable first-line option to reduce bleeding?