A 34-year-old woman presents to the GP with a 6-month history of heavy regular menstrual bleeding. She has no intermenstrual or postcoital bleeding, a...

Question

A 34-year-old woman presents to the GP with a 6-month history of heavy regular menstrual bleeding. She has no intermenstrual or postcoital bleeding, a normal pelvic examination, and does not wish to conceive. According to NICE NG88, which is the single most appropriate first-line treatment?

Accepted Answer

Levonorgestrel intrauterine system (Mirena)

Answer

Tranexamic acid 1 g three times daily during menstruation

Answer

Combined oral contraceptive pill

Answer

Mefenamic acid 500 mg three times daily during menstruation

Answer

Norethisterone 5 mg three times daily, days 5-26

uk-drcog MCQ (SBA): Heavy Menstrual Bleeding

A 34-year-old woman presents to the GP with a 6-month history of heavy regular menstrual bleeding. She has no intermenstrual or postcoital bleeding, a normal pelvic examination, and does not wish to conceive. According to NICE NG88, which is the single most appropriate first-line treatment?