Question

A 53-year-old woman attends with heavy menstrual bleeding causing iron deficiency anaemia. She has a normal pelvic ultrasound and no structural pathology. She does not currently wish contraception. According to NICE guidance, what is the first-line pharmacological treatment?

Accepted Answer

Tranexamic acid

Answer

Non-steroidal anti-inflammatory drugs (NSAIDs) alone

Answer

Combined oral contraceptive pill

Answer

Cyclic progestogens only

Answer

Hysterectomy

Practice question

A 53-year-old woman attends with heavy menstrual bleeding causing iron deficiency anaemia. She has a normal pelvic ultrasound and no structural pathology. She does not currently wish contraception. According to NICE guidance, what is the first-line pharmacological treatment?