A 30-year-old woman para 2, hypeension have menorrhagia. Which is best treatment for her?
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.
Combined pills
Mirena
Hysterectomy
Transcervical resection of endometrium
Disorders of menstruation