Q:

A 16 year old girl who is normally fit and well attends her GP complaining of heavy and painful periods. She is requesting treatmen for these complaints. She denies being sexually active. Select the most appropriate management for her menorrhagia?

waelhammad
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2022-11-03
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A 16 year old girl who is normally fit and well attends her GP complaining of heavy and painful periods. She is requesting treatmen for these complaints. She denies being sexually active. Select the most appropriate management for her menorrhagia?

  1. Antifibrinolytics (tranexamic acid)
  2. COCP
  3. Endometrial ablation
  4. IUS progestrogens (mirena)
  5. NSAIDS (mefenamic acid)
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waelhammad
2022-11-03
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The key is E. NSAIDs (mefenamic acid). [NSAIDS are firstline if there is dysmenorrhea and also very effective for menorrhagia and considered as potent as tranexamic acid in controlling menorrhagia].

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