A 30-year-old woman complains of heavy, painful periods and intermenstrual bleeding. Pelvic examination and ultrasound are normal. She is not currentl...

Question

A 30-year-old woman complains of heavy, painful periods and intermenstrual bleeding. Pelvic examination and ultrasound are normal. She is not currently seeking pregnancy and has no contraindications to oestrogen. According to NICE guidance, what is the first-line pharmacological treatment for heavy menstrual bleeding in this situation?

Accepted Answer

Levonorgestrel-releasing intrauterine system

Answer

Tranexamic acid alone

Answer

Combined oral contraceptive pill

Answer

Non-steroidal anti-inflammatory drugs alone

Answer

Oral norethisterone in the luteal phase only

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