Irregular Bleeding

Question 1

How do you investigate IB?

Answer 1

• bHCG
• FBE, Fe
• Hormones
  ○ FSH and LH and prolactin
  ○ TSH
  ○ Oestrogen, ?progesterone
  ○ Free androgen index (testosterone and SHBG)
• TV US if sexually active
• ?Fasting blood sugar, OGTT

Ideally need to know where they are in their cycle to interrupt

Question 2

What is are contraindications for transexamic acid?

Answer 2

Renal failure
DVTs
Variant of colour blindness