A 30 yr old multipara, hypeensive woman complaints of menorrhagia. Which is best treatment for her?
MIRENA is a levonorgestrel containing IUD paicularly in elderly parous women assuming that they have no history of PID, ectopic pregnancy, leukemia, sickle cell disease or valvular hea disease. In this patient MIRENA is the best treatment for her. It is an effective alternative to hysterectomy to reduce heavy vaginal bleeding. IUD is not indicated for young nulliparous women due to the potential for dysmenorrhea and high risk of STD. Combined OCP is a well accepted and safe method of contraception for teens.
Combined pills
MIRENA
Hysterectomy
Transcervical resection of endometrium