<prompt> A 30-years-old woman para 20, hypertension have menorrhagia. Which is best treatment for her?Combined pillsMirenaHysterectomyTranscervical resection of endometrium  <response>: In this particular question, female is 30 years old i.e. very young so we should not choose hysterectomy or endometrial ablation as the management of choice because in future she might desire pregnancy.Patient is hypertensive, hence OCPs are contraindicated, so our answer by exclusion is Mirena which is logically also correct, as this patient has 2 children so she may not desire pregnancy presently.Thus, Mirena serves 2 purposes in this femaleI. Controls bleedingII. Contraceptive benefit.In future, if she desires pregnancy, she may get mirena removed. 