First line therapy in women with Adenomyosis who wants to preserve feility is
Correct Answer: Levonorgestrel containing IUCD
Description: AUB-A (Adenomyosis) Recommendations for management of AUB-A For managing adenomyosis-A, it is suggested to consider the age, symptomology (AUB, pain and infeility) and association with other conditions (leiomyomas, polyps and endometriosis) In women with AUB-A, desirous of preserving feility but unwilling for immediate conception, progestogens especially LNG-IUS is recommended as first-line therapy. In patients with AUB-A, desirous of preserving feility and resistant to LNG-IUS/ unwilling to use LNG-IUS, gonadotropin releasing hormone (GnRH) agonists with add-back therapy is recommended as second-line therapy. In patients with AUB-A, and not desirous of preserving feility, medical management using long-term GnRH agonists and add-back therapy can be initiated. Combined oral contraceptives, danazol, NSAIDs, and progestogens can be offered for symptomatic relief where LNG-IUS and GnRH agonists cannot be indicated. In case of failure/refusal for medical management, vaginal or laparoscopic hysterectomy is indicated.Reference: NICE Guidelines
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now