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Shvoong Home>Medicine & Health>Gynecology>menorrhagia-management options Review

menorrhagia-management options

Article Review   by:vasundhra     Original Author: from various sources
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Menorrhagia – current management option Menorrhagia or excessive uterine bleeding affects 20-30 % of women in reproductive age group. Most of the cases are due to dysfunctional uterine bleeding (d.u.b.) which implies no pelvic or extrapelvic pathology found.treatment options are : 1. medical treatment : mainstay of treatment in DUB. Includes- a. mefenamic acid : reduces blood loss by 20-30% b.antifibrinolytic tranexmic acid: reduces blood loss by 50 % c.progestagens: cyclical or continuous therapy , successful in anovulatory cases. d.combined oral contraceptive pills: : reduces blood loss by 40% e.GnRH analogue & danazol: although reduces blood loss effectively but not used because of side effect( menopausal , androgenic) Disadvantage: side effect, non compliance, return of symptoms on stoppage of treatment.
2. Surgical treatment: on failure of medical treatment,in elderly patients, not desirous of childbearing “hysterectomy”is indicated. Disadvantages: physical social and emotional consequences besides the risk of minor and major complications related to surgery and anesthesia. 3. Endometrial ablation: less invasive surgical procedure, good for women with no intrauterine pathology. Procedure: only endometrial lining is destroyed while preserving the uterus. Advantage: as compared to medical treatment better in terms of efficacy, patients satisfaction and improvement in quality of life.
Published: December 10, 2007   
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