Gynaecological endocrinology: heavy menstrual bleeding: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological endocrinology: heavy menstrual bleeding

Sample item

A 40-year-old woman with heavy menstrual bleeding, a normal uterus on ultrasound and who desires contraception is best treated initially with:

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Levonorgestrel intrauterine system

LNG-IUS reduces menstrual blood loss by about 70 to 90 per cent and provides contraception. It is first-line for AUB-O or AUB-E. Tranexamic acid and NSAIDs are non-hormonal options. Surgery follows failure of medical therapy.

Option by option

  • A. Levonorgestrel intrauterine system (correct)

    Correct. LNG-IUS is first-line and dual-purpose.

  • B. Hysterectomy

    Hysterectomy is a last resort.

  • C. Oral iron alone

    Iron treats anaemia but not bleeding.

  • D. Endometrial ablation only

    Ablation is considered after medical failure.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Levonorgestrel intrauterine system. LNG-IUS reduces menstrual blood loss by about 70 to 90 per cent and provides contraception.

Why is "Hysterectomy" not the answer?

Hysterectomy is a last resort.

Why is "Oral iron alone" not the answer?

Iron treats anaemia but not bleeding.

Why is "Endometrial ablation only" not the answer?

Ablation is considered after medical failure.

What concept does this question test?

It tests Gynaecological endocrinology: heavy menstrual bleeding in OBG. It is first-line for AUB-O or AUB-E. Tranexamic acid and NSAIDs are non-hormonal options. Surgery follows failure of medical therapy.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological endocrinology: heavy menstrual bleeding?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.