Question

A 38-year-old woman presents with a long history of heavy, regular periods that significantly impact her quality of life. Ultrasound shows a normal uterus with no structural pathology. She does not desire pregnancy. What is the first-line treatment?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Tranexamic acid during menses

Answer

Combined oral contraceptive pill

Answer

Endometrial ablation

Answer

Total hysterectomy

Practice question

A 38-year-old woman presents with a long history of heavy, regular periods that significantly impact her quality of life. Ultrasound shows a normal uterus with no structural pathology. She does not desire pregnancy. What is the first-line treatment?