A 42-year-old woman presents to the GP with persistent heavy menstrual bleeding despite 12 months of treatment with the levonorgestrel intrauterine sy...

Question

A 42-year-old woman presents to the GP with persistent heavy menstrual bleeding despite 12 months of treatment with the levonorgestrel intrauterine system. She has a normal-sized uterus on examination. An ultrasound shows an endometrial polyp measuring 2 cm. Which is the single most appropriate next step?

Accepted Answer

Refer for hysteroscopy and polypectomy

Answer

Continue the LNG-IUS and rescan in 6 months

Answer

Remove the LNG-IUS and start tranexamic acid

Answer

Refer for endometrial biopsy in primary care

Answer

Start a GnRH agonist

uk-drcog MCQ (SBA): Endometrial Polyp