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.