Management of heavy bleeding Flashcards

1
Q

Mefenamic acid and NSAID - how effective are they?

A

Associated with a reduction in mean menstrual blood loss of 20 - 25 %

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When is Mefenamic acid and NSAID first line?

A

Tx of choice where heavy bleeding and dysmenorrhoea co exists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is Mefenamic acid and NSAIDs contraindicated?

A
  1. Contraindicated with a history of
    - duodenal ulcer
    - asthma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How effective is Tranexamic acid?

A

Associated with mean reduction in menstrual blood loss of 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is tranexamic acid taken?

A
  • Only to be taken on days where bleeding is particularly heavy
  • compatible with attempts of conception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Combined contraceptive pill - how effective is it?

A

Very effective especially as it double sup as contraception if taken properly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Contraindications of combined oral contraceptive pill

A
  1. Patients with risk factors for thromboembolism
  2. > 35 years and smoke
  3. History of breast cancer
  4. If overweight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Norethisterone - how effective is it

A

cyclical progesterone taken from day 6 to 26 of menstrual cycle
- regulates bleeding pattern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Disadvantages of prescribing Norethisterone

A
  1. Not a contraceptive and can cause breakthrough bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mirena coil - benefits

A
  1. Contraceptive cover

2. Effective for dysmenorrhoea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

GnRH agonists - how do they work?

A

Act on the pituitary gland to stop the production of oestrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Benefits of GnRH agonist use

A

Effective for associated dysmenorrhoea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Disadvantages of GnRH agonists

A
  1. Irregular bleeding
  2. Menopausal symptoms - flushing and sweating
  3. Only suitable short term unless combined with HRT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Surgical management options

A
  1. Endometrial ablation

2. Hysterectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly