A 48 year old woman, P2L2 with menorrhagia, diagnosed with adenomyosis, is not responding to medical management with NSAIDs and hormonal therapy. Next step in management should be?
Correct Answer: Hysteroscopy biopsy
Description: Any menorrhagia in woman of perimenopausal age group should be evaluated with an endometrial biopsy , preferably hysteroscopy guided, even if a diagnosis of adenomyosis is made on USG, to rule out malignancy Treatment options for adenomyosis Medical: NSAIDs, GnRH analogues, danazol Mirena IUCD (LNG IUCD) Hysterectomy: most definitive treatment
Category:
Gynaecology & Obstetrics
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