A 42-year-old woman on the desogestrel POP develops irregular heavy bleeding after 2 years of stable amenorrhoea. What should be considered?...

Question

A 42-year-old woman on the desogestrel POP develops irregular heavy bleeding after 2 years of stable amenorrhoea. What should be considered?

Accepted Answer

Investigate to exclude cervical or endometrial pathology, as a change from amenorrhoea to heavy irregular bleeding warrants investigation

Answer

This is normal POP behaviour; reassure

Answer

Switch to a CHC to regulate her cycle

Answer

Stop the POP and observe

Answer

She has reached menopause

uk-dfsrh MCQ (SBA): POP Change in Bleeding Pattern Investigation