28 year old female presents with irregular slight bleeding after taking combined OCPs 3 months for heavy menstrual bleeding. What is your advice
Correct Answer: Reassure the patient as it is break through bleeding.
Description: With hormone replacement therapy, irregular spotting or bleeding is side effect. There is no need to sample endometrium, as this is seen only in early months of use.
Category:
Gynaecology & Obstetrics
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