Menorrhagia and Dysmenorrhea (1517/1700)

An 18yo girl has menorrhagia and dysmenorrhea and requires contraception. What drug will you give her?
a. COCP
b. Mirena coil
c. Copper T
d. UAE
e. Depo provera




































answer: B

NICE management of Heavy menstrual bleeding
First line: Mirena
2nd line: NSAID or Tranexamic acid or COCP
3rd line: Progestogen

There is also dysmenorrhea, both COCP and Mirena are effective against it, so we will choose the first line.