Question

A 31-year-old woman has heavy and prolonged menstrual bleeding. An ultrasound confirms multiple fibroids. She desires future fertility. According to NICE guidelines, which medication can be used pre-operatively to reduce fibroid size?

Accepted Answer

GnRH analogues (e.g., Leuprorelin)

Answer

High-dose oestrogen therapy

Answer

Combined oral contraceptive pill

Answer

Tranexamic acid

Answer

Mefenamic acid

Practice question

A 31-year-old woman has heavy and prolonged menstrual bleeding. An ultrasound confirms multiple fibroids. She desires future fertility. According to NICE guidelines, which medication can be used pre-operatively to reduce fibroid size?