Clots in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12371
SMLE Question #12371
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 45-year-old multiparous woman has 6 months of progressively heavier regular menstrual bleeding lasting 10–12 days with clots and pad changes every 1–2 hours on heavy days. Pelvic examination and transvaginal ultrasound show a normal-sized uterus with no fibroids, polyps, or endometrial thickening. She desires nonhormonal medical management and wants to avoid surgery. Which of the following medications is the most appropriate to reduce her menstrual blood loss?
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