Peer Reviewed
Feature Article Obstetrics and gynaecology
Heavy menstrual loss: Part 2. Management options
Recent articles on:
Menstruation
Menstruation
Abstract
Heavy menstrual loss (menorrhagia) may be managed by observation, medical treatment or surgery. Hysterectomy can now be reserved as a second line option for many women – particularly those with dysfunctional uterine bleeding, for which there are effective hormonal and nonhormonal treatments.
Key Points
- A complaint of heavy menstrual loss needs careful evaluation to determine its significance and possible underlying cause.
- Some women have significant pelvic pathology as the cause and have little alternative to hysterectomy.
- Many women have dysfunctional uterine bleeding. The medical and surgical options should be discussed with the benefits and risks for the individual woman.
- The increasing number of medical options will reduce the need for major surgery in most women.
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