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 is excluded when evaluating heavy menstrual bleeding?
Pregnancy, structural disease + bleeding disorder. - When does tranexamic acid work for heavy menstrual bleeding?
During menses only.
Drugs used for this (2)
All clinical uses · Open Heavy menstrual bleeding (HMB) in the interactive console ↗