A 42-year-old woman presents to the GP with heavy menstrual bleeding and an ultrasound showing a 4 cm submucous fibroid distorting the endometrial cav...

Question

A 42-year-old woman presents to the GP with heavy menstrual bleeding and an ultrasound showing a 4 cm submucous fibroid distorting the endometrial cavity. She does not wish to conceive. She has tried the LNG-IUS but it was expelled. According to NICE NG88, which is the single most appropriate next step?

Accepted Answer

Refer for hysteroscopic myomectomy

Answer

Prescribe tranexamic acid long-term

Answer

Commence a GnRH agonist for 6 months

Answer

Refer for uterine artery embolisation

Answer

Prescribe combined oral contraceptive pill

uk-drcog MCQ (SBA): Submucous Fibroid Management