45 years female with 3 months menorrhagia. USG showing 2 cm submucosal fibroid. First line of management is
* American College of Obstetricians and Gynecologists recommends endometrial assessment in any woman older than 45 years with AUB, and in those younger than 45 years with a history of unopposed estrogen exposure such as seen in obesity or polycystic ovarian syndrome (PCOS), failed medical management, and persistent AUB. * Then management is done accordingly depending upon HPE repo. Ref:- Williams gynecology 3rd Edition; Pg num:- 184
Ocp for 3 months
Progesterone for 3 months
Endometrial sampling
Hysterectomy
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