Q:

A 32 year old presents with heavy blood loss, US (ultrasound): uterine thickness>14mm. What is the most appropriate treatment for her?

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A 32 year old presents with heavy blood loss, US (ultrasound): uterine thickness>14mm. What is the most appropriate treatment for her?


  1. Mefenemic acid
  2. COCP
  3. POP
  4. IUCD
  5. IU system (mirena)

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The key is E. IU system (mirena). [Simple endometrial hyperplasia without atypia responds to high-dose progestogens, with repeat histology after three months. This can be effectively delivered by the levonorgestrel intrauterine system (IUS). Source: patient.info].

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