A 36-year-old woman has heavy regular menses and iron deficiency anemia. Pelvic examination shows an enlarged irregular uterus. Transvaginal

Question

A 36-year-old woman has heavy regular menses and iron deficiency anemia. Pelvic examination shows an enlarged irregular uterus. Transvaginal ultrasonography shows multiple intramural fibroids; she wants pregnancy in the future. Which of the following is the most appropriate next step in management?

Accepted Answer

Discuss myomectomy and medical bleeding control options

Answer

Perform hysterectomy as first-line treatment

Answer

Start pelvic radiation

Answer

Give tamoxifen for fibroid shrinkage

Answer

Ignore anemia until menopause

Uterine fibroids — USMLE Step 3 MCQ

A 36-year-old woman has heavy regular menses and iron deficiency anemia. Pelvic examination shows an enlarged irregular uterus. Transvaginal ultrasonography shows multiple intramural fibroids; she wants pregnancy in the future. Which of the following is the most appropriate next step in management?