Menorrhagia treatment guidelines

    • [PDF File] CLINICAL PRACTICE GUIDELINE THE INVESTIGATION AND MANAGEMENT OF MENORRHAGIA

      http://5y1.org/file/12014/clinical-practice-guideline-the-investigation-and-management-of-menorrhagia.pdf

      age of 45 years, or menorrhagia at any age with associated intermenstrual and / or postcoital bleeding, tamoxifen use, obesity and PCOS. 8. Treatment of menorrhagia should be guided by the woman’s desire for fertility, symptom severity, and personal and family medical history. 9. Women with menorrhagia should be given information on the …

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    • [PDF File] Heavy Menstrual Bleeding Clinical Care Standard

      http://5y1.org/file/12014/heavy-menstrual-bleeding-clinical-care-standard.pdf

      3 Initial treatment is pharmaceutical. A woman with heavy menstrual bleeding is offered pharmaceutical treatment, taking into account evidence-based guidelines, her individual needs and any associated symptoms. Initial treatment is provided to a woman who is undergoing further investigations to exclude malignancy and significant pathology.

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    • [PDF File] CLINICAL PRACTICE • Clinical update Dysfunctional uterine …

      http://5y1.org/file/12014/clinical-practice-clinical-update-dysfunctional-uterine.pdf

      1. The initial management of menorrhagia: evidence based clinical guidelines. No. 1. Royal College of Obstetricians and Gynaecologists, 1998. 2. Guidelines for the management of heavy men-strual bleeding. National Health Committee New Zealand, 1998. 3. Shankar M, Lee CA, Sabin CA, Evonomides DL, Kadir RA. Von Willebrand disease in …

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    • [PDF File] The Investigation and Management of Menorrhagia

      http://5y1.org/file/12014/the-investigation-and-management-of-menorrhagia.pdf

      the uterus. These include new onset or worsening menorrhagia over the age of 45 years, or menorrhagia at any age with associated intermenstrual and / or postcoital bleeding, tamoxifen use, obesity and PCOS. 8. Treatment of menorrhagia should be guided by the woman’s desire for fertility, symptom severity, and personal and family medical ...

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    • [PDF File] Menorrhagia: recommended treatments in primary care

      http://5y1.org/file/12014/menorrhagia-recommended-treatments-in-primary-care.pdf

      Figure 2 summarises the management of menorrhagia in pri-mary care. menorrhagia. first-line treatments. LNG-IUS. tranexamic acid, NSAID or COC. progestogen days 5 to 26. use for 3 months. if blood flow is regulated and there are no side-effects, continue with the treatment indefinitely. if blood flow is still heavy try one of the other options ...

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    • [PDF File] Heavy Menstrual Bleeding Pathway

      http://5y1.org/file/12014/heavy-menstrual-bleeding-pathway.pdf

      Failed treatment Refer to Gynaecology This pathway has been developed from published guidance, in collaboration with local gynaecologists. This guidance is to assist GPs in decision making and is not intended to replace clinical judgment. Nice Heavy Menstrual Bleeding Guidance CG 44 Jan 2007 NHS Choices Heavy Periods, Menorrhagia

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    • [PDF File] GUIDELINES FOR THE MANAGEMENT OF ABNORMAL UTERINE BLEEDING

      http://5y1.org/file/12014/guidelines-for-the-management-of-abnormal-uterine-bleeding.pdf

      tive age women suffer from menorrhagia. The prevalence ... These guidelines reflect emerging clinical and scientific advances as of the date issued and are subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Local institutions can dictate amendments to these opinions.

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    • [PDF File] RCOG guidelines on menorrhagia Time for an update?

      http://5y1.org/file/12014/rcog-guidelines-on-menorrhagia-time-for-an-update.pdf

      The number of children in a family has reduced from an average of six in the 1850s to less than two in the 1990s. Few women currently breast feed for long periods of time and life expectancy has increased. It can be surmised that a woman in the year 2005 is likely to be troubled by a greater number of menstrual cycles in her adult life.

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    • [PDF File] CLINICAL PRACTICE GUIDELINE THE INVESTIGATION AND MANAGEMENT OF MENORRHAGIA

      http://5y1.org/file/12014/clinical-practice-guideline-the-investigation-and-management-of-menorrhagia.pdf

      age of 45 years, or menorrhagia at any age with associated intermenstrual and / or postcoital bleeding, tamoxifen use, obesity and PCOS. 8. Treatment of menorrhagia should be guided by the woman’s desire for fertility, symptom severity, and personal and family medical history. 9. Women with menorrhagia should be given information on the …

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    • [PDF File] No. 345-Primary Dysmenorrhea Consensus Guideline

      http://5y1.org/file/12014/no-345-primary-dysmenorrhea-consensus-guideline.pdf

      4. Amenorrhea induced by any means is beneficial for the treatment of dysmenorrhea (II-2). 5. Hysterectomy is effective treatment (II-2). 6. There is some evidence to support laparoscopic nerve ablation in selected cases (II-1). 7. Endometrial ablation is likely to reduce symptoms of dysmenorrhea when it occurs in the presence of menorrhagia (I).

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    • [PDF File] The 2022 hormone therapy position statement of The North …

      http://5y1.org/file/12014/the-2022-hormone-therapy-position-statement-of-the-north.pdf

      tions, the benefit-risk ratio is favorable for treatment of bothersome VMS and prevention of bone loss. For women who initiate hormone therapy more than 10 years from menopause onset or who are aged older than 60 years, the benefit-risk ratio appears less favorable because of the greater absolute risks of coronary heart disease, stroke, venous

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    • [PDF File] Joint RCOG, BSGE and BGCS g uidance for the management of …

      http://5y1.org/file/12014/joint-rcog-bsge-and-bgcs-g-uidance-for-the-management-of.pdf

      if GnRH analogue treatment is to be continued beyond 3-6 months. o High dose systemic progestogens (e.g. norethisterone 5 mg t.d.s; medoxyprogesterone acetate 5-10 mg t.d.s) to be administered to arrest acute episodes of bleeding (single 10-14 day course), to regulate bleeding (cyclical courses e.g. from day 5-26 of the menstrual cycle)

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    • [PDF File] EVIDENCED-BASED CLINICAL MEDICINE Abnormal Uterine …

      http://5y1.org/file/12014/evidenced-based-clinical-medicine-abnormal-uterine.pdf

      treatment,3,6,7 which often occur simultaneously and without the benefit of comprehensive, evi-dence-based guidelines. The available evidence tends to focus on narrow treatment questions rather than the broad clinical approach to manage-ment.8,17 It is not difficult to find long lists of potential causes of abnormal bleeding, but primary

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    • [PDF File] Heavy periods (Menorrhagia) and Dysfunctional uterine bleeding

      http://5y1.org/file/12014/heavy-periods-menorrhagia-and-dysfunctional-uterine-bleeding.pdf

      Treatment aims to reduce the amount of blood loss. The rest of this leaflet discusses treatment options for women who have regular but heavy periods with no clear cause (dysfunctional uterine bleeding). This is the majority of cases. If there is an underlying cause, such as a fibroid or endometriosis, treatment options may be different. Not ...

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    • [PDF File] Heavy menstrual bleeding - RANZCOG

      http://5y1.org/file/12014/heavy-menstrual-bleeding-ranzcog.pdf

      Fibroids are benign non-cancerous growths in the muscle of the uterus. Fibroids can cause heavy menstrual bleeding, pelvic pressure or pain and problems with fertility and pregnancy. However, fibroid symptoms tend to get better after menopause. Fibroids can bulge from the inside or outside of the uterus. They can range in size from microscopic ...

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    • [PDF File] STANDARD TREATMENT GUIDELINES OBSTETRICS

      http://5y1.org/file/12014/standard-treatment-guidelines-obstetrics.pdf

      Leiomyoma of uterus also called as fibromyoma or fibroid uterus is a benign tumor of uterus, essentially composed of smooth muscle tissue and a variable amount of fibrous connective tissue. It is the most common tumor of uterus , and is found in 20% of women in reproductive age group. 1. Leiomyomas are the reason behind one-third of all ...

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    • [PDF File] Dysmenorrhoea - RACGP

      http://5y1.org/file/12014/dysmenorrhoea-racgp.pdf

      of daily living, and a psychosocial and cultural assessment. Management involves specific treatment of underlying pathology, psychosocial support and individualising treatment according to impact of the pain, associated symptoms, reproductive stage, cost, and the woman’s personal values and attitudes. Dysmenorrhoea

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    • [PDF File] Modern management of menorrhagia - BMJ Sexual and …

      http://5y1.org/file/12014/modern-management-of-menorrhagia-bmj-sexual-and.pdf

      diagnosis of menorrhagia followed by a review of current treatment. Treatment can be broadly divided into medical and surgical treatments, which are both discussed. Menorrhagia is defined clinically as MBL in excess of 80 ml per cycle, and guidelines for treatment are based on this definition. This definition was taken from

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    • [PDF File] Guideline for the management of Heavy Menstrual Bleeding

      http://5y1.org/file/12014/guideline-for-the-management-of-heavy-menstrual-bleeding.pdf

      The prevalence of menorrhagia in the adolescent population has been reported as affecting up to 37% of teenage girls1. As per NICE guidance, heavy menstrual bleeding is defined as excessive menstrual ... A clinician should assess a young person’s competence to consent to treatment by their ability to understand information provided, to weigh ...

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    • [PDF File] Updated WHO Recommendation on Tranexamic Acid for the Treatment …

      http://5y1.org/file/12014/updated-who-recommendation-on-tranexamic-acid-for-the-treatment.pdf

      The World Health Organization (WHO) recommends early use of intravenous tranexamic acid (TXA) within 3 hours of birth in addition to standard care for women with clinically diagnosed postpartum haemorrhage (PPH) following vaginal birth or caesarean section. Administration of TXA should be considered as part of the standard PPH treatment …

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    • [PDF File] What is Menorrhagia - BritSPAG

      http://5y1.org/file/12014/what-is-menorrhagia-britspag.pdf

      The word ‘menorrhagia’ means too much bleeding during a period. A period is considered heavy if it causes one or more of the following: Frequent changes of pads every 2 hours or more. Flooding onto clothes or bedding. Needing double protection with tampons and pads. Passing large clots. Affecting normal activities e.g. school, sports etc ...

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    • [PDF File] Clinical practice guidelines on menorrhagia: management of …

      http://5y1.org/file/12014/clinical-practice-guidelines-on-menorrhagia-management-of.pdf

      Treatment: In idiopathic AUB, the first-line treatment is medical, with efficacy ranked as follows: levonorgestrel IUD, tranexamic acid, oral contraceptives, either estrogens and progestins or synthetic ... Clinical practice guidelines on menorrhagia: management of abnormal uterine bleeding before menopause

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    • [PDF File] Management of Abnormal Uterine Bleeding in Reproductive Period

      http://5y1.org/file/12014/management-of-abnormal-uterine-bleeding-in-reproductive-period.pdf

      Descriptive terms that have been used to characterize AUB patterns include menorrhagia, metrorrhagia, polymenorrhea, dysfunctional uterine bleeding and heavy menstrual bleeding. ... The current consensus guidelines have been developed in accordance with the American association of clinical endocrinologists (AACE) protocol for standardized ...

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