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
Answer is B. 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.