A 32-year-old woman presents with heavy menstrual bleeding that is significantly affecting her quality of life. She has no desire for pregnancy in the...

Question

A 32-year-old woman presents with heavy menstrual bleeding that is significantly affecting her quality of life. She has no desire for pregnancy in the next few years, a normal pelvic examination and a normal ultrasound. What is the most appropriate first-line treatment?

Accepted Answer

Levonorgestrel-releasing intrauterine system

Answer

Hysterectomy

Answer

Tranexamic acid only during menses

Answer

Combined oral contraceptive pill is contraindicated

Answer

Endometrial ablation as first-line therapy

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

A 32-year-old woman presents with heavy menstrual bleeding that is significantly affecting her quality of life. She has no desire for pregnancy in the next few years, a normal pelvic examination and a normal ultrasound. What is the most appropriate first-line treatment?