A 36-year-old woman presents to the GP with a 4-month history of heavy menstrual bleeding. Her pelvic examination is normal. She is taking warfarin fo...

Question

A 36-year-old woman presents to the GP with a 4-month history of heavy menstrual bleeding. Her pelvic examination is normal. She is taking warfarin for a mechanical heart valve. Transvaginal ultrasound shows a normal uterus. Which is the single most appropriate initial treatment for her heavy menstrual bleeding?

Accepted Answer

Levonorgestrel intrauterine system (Mirena)

Answer

Tranexamic acid

Answer

Combined oral contraceptive pill

Answer

Mefenamic acid

Answer

Norethisterone 5 mg three times daily

uk-drcog MCQ (SBA): HMB on Anticoagulation