A 36-year-old female presents with prolonged vaginal bleeding of - TopicsExpress

A 36-year-old female presents with prolonged vaginal bleeding of one month’s duration preceded by a 5-week period of amenorrhoea. She describes it as heavy with clots. She is haemodynamically stable with no organic causes for bleeding found. A pregnancy test is negative. Which ONE of the following statements is MOST appropriate? 1-Her history is consistent with uterine bleeding associated with ovulatory cycles 2-Norethisterone 5 mg orally twice a day for 5 days is most likely to be adequate in stopping the bleeding 3-Medroxyprogesterone acetate 10 mg orally three times daily for 12 days is an appropriate initial treatment regimen 4-She should be admitted for urgent dilation and curettage

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