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Clinical Evidence Dec 2005
Review
Topics: Anti-Inflammatory Agents, Non-Steroidal; Danazol; Female; Gonadotropin-Releasing Hormone; Humans; Hysterectomy; Menorrhagia; Progestins; Tranexamic Acid
PubMed: 16620490
DOI: No ID Found -
Ugeskrift For Laeger Nov 2020Menorrhagia is a common complication to oral anticoagulant therapy in premenopausal women. Clinical management of menorrhagia poses a clinical dilemma with the need of... (Review)
Review
Menorrhagia is a common complication to oral anticoagulant therapy in premenopausal women. Clinical management of menorrhagia poses a clinical dilemma with the need of weighting bleeding risk against the risk of recurrent thrombosis. In this review, we describe the risk of menorrhagia during oral anticoagulant therapy, with emphasis on the differences between the specific anticoagulant drugs. We critically assess the treatment options for anticoagulant-associated menorrhagia, and we provide a treatment algorithm for the management of anticoagulant-associated menorrhagia.
Topics: Anticoagulants; Female; Humans; Menorrhagia; Thrombophlebitis
PubMed: 33280643
DOI: No ID Found -
Acta Obstetricia Et Gynecologica... May 2003Menorrhagia is defined as a 'complaint of heavy cyclical menstrual bleeding occurring over several consecutive cycles'. Objectively it is a total menstrual blood loss... (Review)
Review
Menorrhagia is defined as a 'complaint of heavy cyclical menstrual bleeding occurring over several consecutive cycles'. Objectively it is a total menstrual blood loss equal to or greater than 80 ml per menstruation. It is estimated that approximately 30% of women complain of menorrhagia. Excessive bleeding is the main presenting complaint in women referred to gynecologists and it accounts for two-thirds of all hysterectomies, and most of endoscopic endometrial destructive surgery. Thus, menorrhagia is an important healthcare problem. Its etiology, investigation, medical and surgical management are described. In approximately 50% of cases of menorrhagia no pathology is found at hysterectomy. Abnormal levels of prostaglandins or the fibrinolytic system in the endometrium have been implicated. Effective medical treatments suitable for long-term use include intrauterine progestogens, antifibrinolytic agents (tranexamic acid) and nonsteroidal anti-inflammatory agents (mefenamic acid). Over the past decade there has been increasing use of endometrial destructive techniques as an alternative to hysterectomy. Their further refinement and the advent of fibroid embolization has increased the options available to women.
Topics: Anti-Inflammatory Agents, Non-Steroidal; Antifibrinolytic Agents; Contraceptives, Oral, Combined; Endometrium; Female; Humans; Hysterectomy; Hysteroscopy; Menorrhagia; Menstruation; Progestins
PubMed: 12752071
DOI: 10.1034/j.1600-0412.2003.00097.x -
Obstetrical & Gynecological Survey Jun 1989
Review
Topics: Endometrium; Female; Fibrinolysis; Humans; Menorrhagia; Prostaglandins
PubMed: 2660036
DOI: 10.1097/00006254-198906000-00003 -
Australian Family Physician May 1995The treatment of menorrhagia has changed significantly in two ways. Between 20% to 40% of women complaining of menorrhagia have normal to below normal blood loss and may... (Review)
Review
The treatment of menorrhagia has changed significantly in two ways. Between 20% to 40% of women complaining of menorrhagia have normal to below normal blood loss and may avoid medical and surgical treatment by learning how to cope with menstrual loss. Ninety per cent of women with menorrhagia not responding to drug therapy can be treated by a wide variety of endoscopic procedures and hysterectomy is required for only a few of these patients. This article reviews the subject with emphasis on current practice and new endoscopic procedures.
Topics: Endometriosis; Endometrium; Female; Humans; Hysterectomy; Leiomyoma; Menorrhagia; Uterine Neoplasms
PubMed: 7794145
DOI: No ID Found -
Maturitas Jul 2010Menorrhagia is a significant health problem for many women. It increases with age and peaks during the perimenopause. Although historically, hysterectomy as been the... (Review)
Review
Menorrhagia is a significant health problem for many women. It increases with age and peaks during the perimenopause. Although historically, hysterectomy as been the mainstay for treatment there are many effective medical and surgical alternatives to hysterectomy that may be eminently suitable for perimenopausal women as menopause will intervene in due course. The incidence, aetiology, initial management and effective treatment options are discussed in this review article.
Topics: Balloon Occlusion; Endometrial Ablation Techniques; Female; Humans; Hysterectomy; Incidence; Menorrhagia; Perimenopause; Progestins
PubMed: 20399041
DOI: 10.1016/j.maturitas.2010.03.013 -
Fertility and Sterility Oct 2022Iron deficiency (ID) and iron deficiency anemia (IDA) are highly prevalent among women across their life span, especially during the reproductive age. An iron-deficient... (Review)
Review
Iron deficiency (ID) and iron deficiency anemia (IDA) are highly prevalent among women across their life span, especially during the reproductive age. An iron-deficient state has been associated with a number of adverse health consequences, affecting all aspects of the physical and emotional well-being of women. Heavy menstrual bleeding, pregnancy state, and the postpartum period are the major causes of ID/IDA. However, despite the high prevalence and the impact on quality of life, ID/IDA among fertile age women remains underdiagnosed and undertreated. The present Views and Reviews provides an overview on IDA in women's health, describing the background on iron metabolism, heavy menstrual bleeding pathogenetic mechanisms, including a focus on uterine disorders, such as uterine fibroids and adenomyosis. Iron replacement therapies, patient blood management, and treatment options for uterine disorders also are explored.
Topics: Anemia, Iron-Deficiency; Female; Humans; Iron; Iron Deficiencies; Menorrhagia; Pregnancy; Quality of Life; Reproductive Health; Women's Health
PubMed: 36182259
DOI: 10.1016/j.fertnstert.2022.08.850 -
Pediatric Annals Sep 2001
Review
Topics: Adolescent; Female; Humans; Menorrhagia; Menstruation Disturbances
PubMed: 11554263
DOI: 10.3928/0090-4481-20010901-09 -
The Medical Clinics of North America Mar 2023Abnormal uterine bleeding is a common problem in premenopausal women and refers to uterine bleeding that is abnormal in frequency, duration, volume, and/or regularity.... (Review)
Review
Abnormal uterine bleeding is a common problem in premenopausal women and refers to uterine bleeding that is abnormal in frequency, duration, volume, and/or regularity. Etiologies can be classified using the PALM-COIEN system. Patients should receive a comprehensive history and physical with special attention to menstrual, sexual, and family history. Physical examination needs to include a pelvic examination with speculum and bimanual components. All patients need to have a pregnancy test and CBC with platelets. Treatments vary by etiology. Medical treatments include levonorgestrel intrauterine devices, oral contraceptive pills, and tranexamic acid. Surgical treatment options include endometrial ablation and hysterectomy.
Topics: Pregnancy; Humans; Female; Menorrhagia; Levonorgestrel; Uterine Hemorrhage; Contraceptives, Oral; Hysterectomy
PubMed: 36759094
DOI: 10.1016/j.mcna.2022.10.014 -
Clinical Evidence Dec 2004
Review
Topics: Anti-Inflammatory Agents, Non-Steroidal; Antifibrinolytic Agents; Female; Gonadotropin-Releasing Hormone; Humans; Hysterectomy; Hysteroscopy; Menorrhagia; Tranexamic Acid
PubMed: 15865811
DOI: No ID Found