Question

A 37-year-old woman presents with heavy, regular menses causing iron deficiency anaemia. Pelvic examination is normal and pregnancy test is negative. According to SOGC guidance on abnormal uterine bleeding in premenopausal women, what is an appropriate first-line medical treatment?

Accepted Answer

Levonorgestrel-releasing intrauterine system

Answer

Hysterectomy

Answer

Endometrial ablation

Answer

High-dose danazol

Answer

No treatment; observation only

Practice question

A 37-year-old woman presents with heavy, regular menses causing iron deficiency anaemia. Pelvic examination is normal and pregnancy test is negative. According to SOGC guidance on abnormal uterine bleeding in premenopausal women, what is an appropriate first-line medical treatment?