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A 42-year-old nullipara presents with abdominopelvic and bladder pressure, low back pain, and heavy menstrual periods. Menses are regular, lasting five to seven days with heavy flow and no intermenstrual bleeding. She does not desire future childbearing and would like definitive management but is worried about missing work. She has no past medical or surgical history. She is not taking medications and has no known drug allergies.
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