An 18yo girl has menorrhagia and dysmenorrhea and requires contraception. What drug will you give her?
a. COCP
b. Mirena coil
c. Copper T
d. UAE
e. Depo provera
answer: B
NICE management of Heavy menstrual bleeding
First line: Mirena
2nd line: NSAID or Tranexamic acid or COCP
3rd line: Progestogen
There is also dysmenorrhea, both COCP and Mirena are effective against it, so we will choose the first line.