A 30-year-old woman presents with heavy menstrual bleeding and mild anaemia. Pelvic ultrasound is normal, and she desires medical management. Accordin...

Question

A 30-year-old woman presents with heavy menstrual bleeding and mild anaemia. Pelvic ultrasound is normal, and she desires medical management. According to NICE, which first-line medication is recommended for heavy menstrual bleeding if there is no contraindication to hormonal methods?

Accepted Answer

Levonorgestrel intrauterine system (LNG-IUS)

Answer

Tranexamic acid

Answer

Non-steroidal anti-inflammatory drugs (e.g., mefenamic acid)

Answer

Combined oral contraceptive pill

Answer

Oral progesterone tablets

ukmla MCQ (SBA): Obstetrics & Gynaecology

A 30-year-old woman presents with heavy menstrual bleeding and mild anaemia. Pelvic ultrasound is normal, and she desires medical management. According to NICE, which first-line medication is recommended for heavy menstrual bleeding if there is no contraindication to hormonal methods?