5th May 2024

A 35-year-old woman with a BMI of 32 presents to her GP complaining of heavy menstrual bleeding and pelvic pressure for the past 6 months.

A 35-year-old woman with a BMI of 32 presents to her GP complaining of heavy menstrual bleeding and pelvic pressure for the past 6 months. She reports occasional constipation and urinary frequency. Her last Pap smear was normal, and she is up to date with her cervical screening. She is not currently sexually active and does not desire future fertility. An ultrasound reveals multiple uterine fibroids, the largest measuring 4 cm. She has a history of type 2 diabetes and hypertension.

Which management option is most appropriate for her?