Question

A 31-year-old woman presents with irregular heavy menstrual bleeding. Pregnancy test is negative. She desires contraception and reduction in bleeding. Pelvic exam is normal. Which is the most effective option?

Accepted Answer

Levonorgestrel intrauterine system (LNG-IUS)

Answer

Combined oral contraceptive pill

Answer

Tranexamic acid during menses

Answer

Norethisterone days 5-26

Answer

Mefenamic acid during menses

Practice question

A 31-year-old woman presents with irregular heavy menstrual bleeding. Pregnancy test is negative. She desires contraception and reduction in bleeding. Pelvic exam is normal. Which is the most effective option?