Question:medium
What is the preferred treatment for menorrhagia in the reproductive age group?
What is the preferred treatment for menorrhagia in the reproductive age group?
Show Hint
Which option thins the endometrium and reduces flow, instead of increasing it like copper devices?
Updated On: Jun 24, 2026
- NOVA T (copper IUCD)
- Cu IUD (copper intrauterine device)
- OCPs (oral contraceptive pills)
- Hysterectomy
Show Solution
The Correct Option is C
Solution and Explanation
Step 1: Frame the goal. A young woman with heavy periods usually still wants to keep her uterus and fertility, so the ideal option must control bleeding while being conservative and reversible.
Step 2: Look at the copper devices. Both the Cu IUD and the NOVA T copper coil are known to make menstrual flow heavier, so prescribing them for menorrhagia would aggravate the very problem we are treating. They are ruled out.
Step 3: Hysterectomy ends bleeding permanently but it is major surgery that sacrifices the uterus, so it is kept for resistant cases or when childbearing is complete, not for routine first-line care. That leaves combined oral contraceptive pills, which thin the endometrium, steady the cycle and cut blood loss substantially, all while offering contraception.
Step 4: The conservative, fertility-sparing and effective first choice for menorrhagia in the reproductive years is OCPs.
\[\boxed{\text{OCPs}}\]
Step 2: Look at the copper devices. Both the Cu IUD and the NOVA T copper coil are known to make menstrual flow heavier, so prescribing them for menorrhagia would aggravate the very problem we are treating. They are ruled out.
Step 3: Hysterectomy ends bleeding permanently but it is major surgery that sacrifices the uterus, so it is kept for resistant cases or when childbearing is complete, not for routine first-line care. That leaves combined oral contraceptive pills, which thin the endometrium, steady the cycle and cut blood loss substantially, all while offering contraception.
Step 4: The conservative, fertility-sparing and effective first choice for menorrhagia in the reproductive years is OCPs.
\[\boxed{\text{OCPs}}\]
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