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Gynaecology & Obstetrics Disorders of menstruation 07763d05

A 30-year-old woman para 2, hypeension have menorrhagia. Which is best treatment for her?

A
Combined pills
B
Mirena
C
Hysterectomy
D
Transcervical resection of endometrium
High-Yield Explanation
Mirena: It is employed to control menorrhagia It has no action on ovaries therefore E2 and progesterone levels remain normal Reduces blood loss by 70%-90% in 3months Can be retained for 5yrs Ref: Shaw Gynecology 17 e pg 136.

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