Question

A 48-year-old woman presents with heavy menstrual bleeding causing iron deficiency anaemia. She has completed her family. Pelvic examination is normal. Which first-line pharmacological treatment is recommended to reduce her bleeding?

Accepted Answer

Levonorgestrel-releasing intrauterine system (Mirena)

Answer

Tranexamic acid

Answer

Oral conjugated oestrogens

Answer

Gonadotrophin-releasing hormone (GnRH) analogues

Answer

Combined oral contraceptive pill

Practice question

A 48-year-old woman presents with heavy menstrual bleeding causing iron deficiency anaemia. She has completed her family. Pelvic examination is normal. Which first-line pharmacological treatment is recommended to reduce her bleeding?