A 32-year-old woman presents with heavy menstrual bleeding causing iron deficiency anaemia. Pelvic ultrasound is normal. She has no contraindications ...

Question

A 32-year-old woman presents with heavy menstrual bleeding causing iron deficiency anaemia. Pelvic ultrasound is normal. She has no contraindications to hormonal treatment and does not currently wish to conceive. What is the most effective first-line treatment option for controlling her bleeding?

Accepted Answer

Levonorgestrel-releasing intrauterine system

Answer

Tranexamic acid alone

Answer

Norethisterone in the luteal phase only

Answer

Combined oral contraceptive pill

Answer

Endometrial ablation

uk-plab-1 MCQ (SBA): Heavy menstrual bleeding

A 32-year-old woman presents with heavy menstrual bleeding causing iron deficiency anaemia. Pelvic ultrasound is normal. She has no contraindications to hormonal treatment and does not currently wish to conceive. What is the most effective first-line treatment option for controlling her bleeding?