quizme

A 44-year-old woman complains of continuous vaginal bleeding for 6 months. She has had an endometrial biopsy 3 months ago and the histology report revealed proliferative endometrium. She did not respond to medical treatment with norethisterone 5 mg twice daily 21 days. Transvaginal ultrasound scan reveals an endometrial thickness of 9 mm. The haemoglobin level is 9 gm/dl. The platelet count is normal. What is the most appropriate method of treatment?

 44-year-old woman complains of continuous vaginal bleeding for 6 months. She has had an endometrial biopsy 3 months ago and the histology report revealed proliferative endometrium. She responded to treatment with norethisterone 5 mg twice daily for 3 cycles of 21 days, but bleeding recurred soon after cessation of treatment. Transvaginal ultrasound scan reveals an endometrial thickness of 8 mm. The haemoglobin level is 9.5 gm/dl. The platelet count is normal. Her BMI is 22. She does not have any medical complications. What is the most appropriate method of treatment

A 48-year-old woman complains of irregular, frequent heavy menstrual bleeding for 2 months. Abdominal and vaginal examinations are normal. Transvaginal ultrasound scan reveals an endometrial polyp. What is the most appropriate treatment? 

A 43-year-old woman presents with heavy menstrual bleeding. She has one child 6 years of age. The uterus is enlarged to 24 weeks with multiple fibroids. Her haemoglobin level is 9 g/dl. What is the best treatment option

A 43-year-old nulliparous woman presents with heavy irregular menstrual bleeding. Abdominal examination is normal. Speculum examination reveals a large fibroid polyp protruding through the cervical os. No other fibroids are detected on the ultrasound scan. What is the best treatment option

A 43-year-old multiparous woman pre sents with heavy menstrual bleeding and dysmenorrhoea which outlast the period. Abdominal and vaginal examinations reveal a uniformly enlarged uterus, corresponding in size to 14 weeks. Ultrasound examination reveals a uniformly enlarged uterus with marked myometrial thickening. What is the most appropriate treatment?