A 40-year-old female with heavy uterine bleeding and ultrasound showing fibroids; best treatment option?

• A. Hysterectomy
• B. Oral contraceptives
• C. Chemotherapy
• D. Radiation therapy

Answer: (A)

Uterine fibroids causing heavy menstrual bleeding respond best to definitive removal when the patient does not want future fertility. Removing the uterus eliminates the source of both the fibroids and the heavy bleeding, offering a permanent cure.

Oral contraceptives might help regulate menses and reduce bleeding temporarily, but they do not remove the fibroids or provide a lasting cure. Chemotherapy and radiation therapy target cancer or other conditions and are not appropriate for benign fibroids; they carry unnecessary risks and aren’t curative for this scenario.