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A 30-year-old is experiencing menorrhagia and dysmenorrhoea. This is causing her to miss work and is resulting in significant distress. She does not have any children and does not feel ready to start a family, but would like to in the future. She has an ultrasound of the pelvis to investigate further. This demonstrates a 2cm intramural fibroid and is otherwise within normal limits. What is the most appropriate treatment for her symptoms?a) Combined oral contraceptive pill (COCP)b) hysterectomyc) hysteroscopic resection of fibroidd) myomectomye) no treatment
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