Menorrhagia

external

• Causes

  • Hypothyroidism
  • Intrauterine coil device
  • Dysfunctional uterine bleeding
  • Endometrial polyp
  • Ectopic endometrium
  • Fibroid
  • Carcinoma of endometrium
  • Pelvic infection
  • Bleeding disorder
  • Uterine fibroid

• Effects

  • Chronic blood loss
  • Benign intracranial hypertension

• Parents

  • Gynaecological symptom
  • Gynaecological haemorrhage

• Treatments

  • Tranexamic acid

• Description

  • ">80ml per cycle Rx Antifibrinolytics eg tranexamic acid Antiprostaglandin eg mefanemic acid (also for dysmenorrhoea) Hormone eg. cyclical progestogen
  • norethisterone or combined OCP IUCD Hysterectomy Endometrial resection "