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Tranexamic acid for HMB — DRCOG MCQ

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EasyGynaecologyTranexamic acid for HMBDRCOG

A 36-year-old woman has heavy regular periods and is awaiting fitting of an LNG-IUS. Pelvic examination is normal and she wants a non-hormonal option for the next few cycles. What is the most appropriate management?

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Correct answer: E — Offer tranexamic acid during menstruation

Tranexamic acid is a non-hormonal option for heavy menstrual bleeding and can be used while definitive treatment is being arranged. Methotrexate and emergency contraception do not treat heavy regular bleeding. Antibiotics are not indicated without infection. Endometrial ablation is a specialist procedure, not performed in the GP surgery.

Reference: NICE NG88; BNF