A female patient of childbearing age is diagnosed with large uterine fibroids. Because the patient wants to have children, the nurse recognizes that the treatment of choice will probably be:
1. oral contraceptives.
2. estrogen replacement.
3. iron replacement therapy.
4. leuprolide acetate (Lupron).
Correct Answer: 4
Leuprolide acetate (Lupron) is used to reduce bleeding and shrinks the fibroids. The use of oral contraceptives may reduce heavy bleeding. Medications that stop ovarian production of estrogen and progesterone (hormones necessary for fibroid growth) may provide a temporary decrease in manifestations. Iron replacement therapy is not appropriate for this patient.
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