A 31-year-old multiparous woman has a 2-year history of heavy menstrual bleeding causing iron-deficiency anaemia. She has completed her family and pel...

Question

A 31-year-old multiparous woman has a 2-year history of heavy menstrual bleeding causing iron-deficiency anaemia. She has completed her family and pelvic ultrasound is normal. There are no fibroids >3 cm. According to NICE guidance, what is the most effective first-line treatment option?

Accepted Answer

Levonorgestrel-releasing intrauterine system (LNG-IUS)

Answer

Endometrial ablation as first-line

Answer

Combined oral contraceptive pill only

Answer

Oral Tranexamic acid alone for long term

Answer

Immediate hysterectomy

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

A 31-year-old multiparous woman has a 2-year history of heavy menstrual bleeding causing iron-deficiency anaemia. She has completed her family and pelvic ultrasound is normal. There are no fibroids >3 cm. According to NICE guidance, what is the most effective first-line treatment option?