Question

A 25-year-old woman presents with heavy menstrual bleeding (HMB). Investigations are normal. According to NICE, which first-line pharmacological treatment is recommended for HMB if contraception is also desired?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Oral tranexamic acid

Answer

NSAIDs (e.g., mefenamic acid)

Answer

Combined oral contraceptive pill

Answer

Oral progestogens (e.g., norethisterone)

Practice question

A 25-year-old woman presents with heavy menstrual bleeding (HMB). Investigations are normal. According to NICE, which first-line pharmacological treatment is recommended for HMB if contraception is also desired?