Gynae Flashcards

1
Q

Tx for menorrhagia

A

Transexamic acid
Anti-Fibrinolytic - reduces bleeding
No effects on fertility

Also epistaxis and hereditary angioedema

SE- D and V and nausea
Contradicted in: epilepsy, pregnancy, DVT or PE, coagulopathy, irregular periods.

  • cyclical progesterone: not if trying to start a family.
  • medroxyprogesterone injection
  • mirena IUS - both these is not wanting to conceive
  • GnRH analogue - for heavy painful periods associated with fibroids causing distorted uterus.
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