FCOG-0900

FCOG-0900

A 46-year-old woman with regular menstrual cycles presents with a history of menorrhagia for the last 6 years. Her menstrual cycles are normal, but she has bled excessively for eight days every month, and her haemoglobin level was 90g/L one month ago. She’s already on iron supplementation. She has a history of cervical intraepithelial neoplasia grade 3 (CIN3) in addition to the anaemia, albeit her yearly smear test has been normal since the laser treatment six years ago. She is also undergoing hypertension treatment. Physical examination is unremarkable. She is not willing for endometrial ablation or hysterectomy until her menopause. Which of the following medical therapies would be the best for her to utilize between now and the time she is expected to hit menopause, which is around the age of 50?