Heavy menstrual bleeding (HMB)
- Exclude pregnancy, structural disease + bleeding disorder
- Levonorgestrel IUD is highly effective
- Tranexamic acid works only during menses
- NSAID can reduce bleeding + dysmenorrhea
- Combined/progestin hormonal therapy are alternatives
- Severe acute bleeding may need high-dose hormonal/procedural care
Use at a glance
- Exclude pregnancy, structural disease + bleeding disorder
Practical pearls
- Severe acute bleeding may need high-dose hormonal/procedural care
Other practical pearls
- Levonorgestrel IUD is highly effective
- Tranexamic acid works only during menses
Treatment options
- NSAID can reduce bleeding + dysmenorrhea
- Combined/progestin hormonal therapy are alternatives
Self-check
- What should be excluded when evaluating Heavy menstrual bleeding (HMB)?
pregnancy, structural disease + bleeding disorder.
Drugs used for this (1)
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