Heavy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18817
SMLE Question #18817
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: March 2026
A 32-year-old nulliparous woman presents with heavy, regular menstrual bleeding for 4 months, changing pads every 1–2 hours on the heaviest days. She has no intermenstrual bleeding, pelvic pain, dyspareunia, or postcoital bleeding. She wants to preserve fertility. Pelvic examination shows a normal-sized, non-tender uterus with no adnexal masses. Transvaginal ultrasound shows a single 4 × 4 cm subserosal uterine leiomyoma with no intracavitary distortion; endometrial thickness and ovaries are normal. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.