Menorrhagia

Question 1

What is normal bleeding?

Answer 1

2-8 days duration
23-39 day cycles
60-80ml blood loss

Question 2

What can cause heavy bleeding?

Answer 2

2y to organic disease
infection
iatrogenic
ovulatory dysfunction

fibroids
polyps
adenomyosis
endometriosis
malignancy

Question 3

treatment of menorrhagia - wanting to get pregnant

Answer 3

transexamic acid - anti-fibrinolytic

mefenamic acid - NSAID - pain

Question 4

treatments of menorrhagia - not wanting to get pregnant

Answer 4

danazol - bad side effects
COCP
mirena - irregular bleeding

endometrial ablation - bad for long term fertility
hysterectomy