A 36-year-old woman presents to the GP with heavy menstrual bleeding. She does not wish to conceive and has declined the LNG-IUS. She has no identifie...

Question

A 36-year-old woman presents to the GP with heavy menstrual bleeding. She does not wish to conceive and has declined the LNG-IUS. She has no identified uterine pathology on ultrasound. According to NICE NG88, what is the next most appropriate medical option?

Accepted Answer

Tranexamic acid OR NSAIDs OR combined oral contraceptive pill

Answer

Norethisterone 5 mg three times daily, days 5-26

Answer

GnRH agonist

Answer

Endometrial ablation

Answer

Iron supplementation only

uk-drcog MCQ (SBA): HMB - Second-line Treatment

A 36-year-old woman presents to the GP with heavy menstrual bleeding. She does not wish to conceive and has declined the LNG-IUS. She has no identified uterine pathology on ultrasound. According to NICE NG88, what is the next most appropriate medical option?