In a woman with heavy vaginal bleeding due to multiple uterine leiomyomas, what is the most appropriate next step in her treatment?

In the context of a woman experiencing heavy vaginal bleeding due to multiple uterine leiomyomas (fibroids), obtaining a gynecological consultation is the most appropriate next step in treatment. Consulting a specialist is essential for several reasons. It allows for a comprehensive assessment of the patient's condition, including the severity and impact of the bleeding, as well as the size and location of the fibroids.

A gynecologist can also discuss the full range of treatment options available, which may include surgical interventions, hormonal treatments, or other minimally invasive techniques like uterine artery embolization. This step ensures that the woman receives tailored care based on her unique clinical situation, preferences, and overall health.

While increasing hormonal therapy or prescribing iron supplements may provide symptomatic relief, they do not address the underlying problem, which is the presence of the leiomyomas. A hysterectomy is a definitive solution but is typically reserved for cases where more conservative treatments have failed or when the symptoms are exceedingly severe, making consultation crucial before making such decisions. Thus, seeking a gynecological consultation is the best approach to manage her heavy bleeding effectively.