Question

A 30-year-year-old woman with heavy menstrual bleeding (HMB) and no structural pathology wants medical management and contraception. First-line option?

Accepted Answer

Levonorgestrel intrauterine system (LNG-IUS)

Answer

Tranexamic acid

Answer

NSAIDs (mefenamic acid)

Answer

Combined oral contraceptive pill

Answer

Oral norethisterone luteal phase only

Practice question

A 30-year-year-old woman with heavy menstrual bleeding (HMB) and no structural pathology wants medical management and contraception. First-line option?