Question

A 16-year-old girl presents with heavy, regular menstrual periods causing iron deficiency anaemia. There is no history of easy bruising or family bleeding disorders. According to adolescent gynaecology guidelines, what is an appropriate first-line treatment?

Accepted Answer

High-dose combined oral contraceptive pill in a continuous regimen

Answer

Levonorgestrel intrauterine device as first-line

Answer

Long-term tranexamic acid only

Answer

Hysterectomy

Answer

No treatment; reassure that heavy bleeding is normal in adolescence

Practice question

A 16-year-old girl presents with heavy, regular menstrual periods causing iron deficiency anaemia. There is no history of easy bruising or family bleeding disorders. According to adolescent gynaecology guidelines, what is an appropriate first-line treatment?