A young, single client reports excessive menstrual flow with menses lasting 10 days each month. Which treatment option will provide symptomatic relief for this client with the least risk?
A) Dilation and curettage (D and C)
B) Hormonal contraceptives
C) Endometrial ablation
D) Uterine balloon therapy
B
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When combination hormonal contraceptives are administered, they produce a light menstrual period and are helpful in the management of menorrhagia. D and C can provide symptomatic relief; however, the effectiveness is limited. Endometrial ablation and uterine balloon therapy cause the endometrium to slough and are cost-effective but are only used after childbearing has completed.
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