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Heavy menstrual bleeding — DRCOG MCQ

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HardGynaecologyHeavy menstrual bleedingDRCOG

A 43-year-old woman has heavy regular periods affecting work. She has no intermenstrual bleeding and pelvic examination is normal. She feels tired and wants help before choosing treatment. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Full blood count

Full blood count is appropriate to assess anaemia in heavy menstrual bleeding. CA125 and MRI are not first-line in an uncomplicated presentation with normal examination. The pearl is that investigation should be guided by symptoms suggesting pathology, while anaemia should be actively looked for.

Reference: NICE NG88; FSRH Intrauterine Contraception