A 30-year-old woman presents with heavy menstrual bleeding for 2 years, causing iron deficiency anaemia. She has no structural abnormalities on pelvic...

Question

A 30-year-old woman presents with heavy menstrual bleeding for 2 years, causing iron deficiency anaemia. She has no structural abnormalities on pelvic ultrasound and does not desire pregnancy in the near future. What is the most effective first-line medical treatment to reduce her menstrual blood loss?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS).

Answer

Tranexamic acid during menstruation.

Answer

Combined oral contraceptive pill.

Answer

Oral Norethisterone from day 5 to day 26 of the cycle.

Answer

Endometrial ablation.

uk-plab-1 MCQ (SBA): Heavy menstrual bleeding