A 30-year-old woman presents to the GP with regular heavy menstrual periods lasting 8 days. She has tried tranexamic acid and mefenamic acid with part...

Question

A 30-year-old woman presents to the GP with regular heavy menstrual periods lasting 8 days. She has tried tranexamic acid and mefenamic acid with partial improvement. She has declined the LNG-IUS. She does not wish to conceive for 2 years. According to NICE NG88, which is the next most appropriate pharmacological option?

Accepted Answer

Combined oral contraceptive pill

Answer

GnRH agonist for 6 months

Answer

Norethisterone 5 mg three times daily, days 5-26

Answer

Danazol 200 mg twice daily

Answer

Iron supplementation alone

uk-drcog MCQ (SBA): HMB - Third-line After Tranexamic Acid and NSAIDs