What Medical treatments for available for my heavy periods.
Medications used include:-
- combined oral contraceptive pills.
- progestogens (e.g. Norethisterone{e.g. Primolut N}, Dydrogesterone {Duphaston}, and Medroxyprogesterone {Provera})
- tranexamic acid (Cyklokapron)
- non-steroidal anti-inflammatory agents (e.g. mefenamic acid {Ponstan})
- gonadotrophic releasing hormone agonists.
- hormone replacement therapy (HRT)
- danazol (Danol)
- gestrinone (Dimetrioise)
- ethamsylate (Dicynene)
- antibiotics
- buscopan (an antispasmodic) may help painful periods.
- the levonorgestrel intrauterine system, although developed as a highly effective and reversible method of contraception, provides excellent reduction in menstrual loss. This benefit is due to local release of the progestogen levonorgestrel within the uterine cavity. (Mirena).
- Depo-Provera (Depo-Provera)
Related Medical Abstracts - Click on the paper title:-
- Surgery versus medical therapy for heavy menstrual bleeding. (2006-01)
- Acceptability of intrauterine levonorgestrel delivery system (Mirena(R) 52mg) after estrogen-progesterone oral contraception: results of a prospective multicentric study of 211 patients aged 25-35 years (2006-02)
- Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. (2005-01)
- Non health benefits ofcombinedoral contraception. (2005-02)
- Tranexamic acid: a review of its use in the management of menorrhagia. (2003-01)
- Women's knowledge and sources of information on the risks and benefits of oral contraception. (2003-02)
- Can the levonorgestrel intrauterine system replace surgical treatment for the management of menorrhagia? (2002-01)
- Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding. (2002-02)
- Therapies for the treatment of abnormal uterine bleeding. (2001-01)
- Cyclical progestogens for heavy menstrual bleeding. (2000-01)
- Antifibrinolytics for heavy menstrual bleeding. (2002-02)
- Danazol for heavy menstrual bleeding. (2000-03)
- Treatment of menorrhagia during menstruation: Randomised controlled trial of ethamsylate, mefenamic acid, and tranexamic acid (1996)
- The effect of tranexamic acid on measured menstrual loss and endometrial fibrinolytic enzymes in dysfunctional uterine bleeding. (1994)
- Treatment of menorrhagia with tranexamic acid. A clinical trial of an underestimated problem in general practice. (1993)
- An alternative to hysterectomy? GnRH analogue combined with hormone replacement therapy (1993)
- Treatment of ovulatory and anovulatory dysfunctional uterine bleeding with oral progestogens (1990)
- Gestrinone in the treatment of menorrhagia (1990)
- The effects of mefenamic acid and norethisterone on measured menstrual blood loss (1990)
- Comparison between antifibrinolytic and antiprostaglandin treatment in the reduction of increased menstrual blood loss in women with intrauterine contraceptive devices (1983)
- Comparison between mefenamic acid and danazol in the treatment of established menorrhagia (1989)
- An objective evaluation of flurbiprofen and tranexamic acid in the treatment of idiopathic menorrhagia. (1988)
- Treatment of dysfunctional uterine bleeding with danazol (1985)
- Long-term treatment of menorrhagia with mefenamic acid (1983)
- Efficacy of mefenamic acid in patients with a complaint of menorrhagia (1981)
- Studies in menorrhagia: (a) mefenamic acid, (b) endometrial prostaglandin concentrations (1980)
- The effect of danazol on menorrhagia, coagulation mechanisms, haematological indices and body weight (1979)
- Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. (2005-01)
Please click on the required question.
- 1 Are heavy periods a common problem?
- 2 What is in my menstrual flow?
- 3 What range of menstrual cycle length is considered to be normal?
- 4 How can menstrual blood loss be measured?
- 5 How can I tell if my periods are abnormally heavy?
- 6 What could be the cause of my very heavy menstrual periods?
- 7 I have been sterilised. Could this be the cause of my heavy periods?
- 8 Should I have tests to find the reason for my heavy periods?
- 9 How will my heavy period problems be investigated?
- 10 What is meant by anaemia due to heavy periods?
- 11 What is intermenstrual bleeding?
- 12 What is a hysteroscopy and D and C?
- 13 What is cervical cautery?
- 14 What happens after the D and C?
- 15 What treatments are available for my heavy periods?
- 16 What are the medical treatments available for heavy periods?
- 17 How do the various medical treatments for heavy periods work?
- 18 What would be reasonable initial treatment for a teenager or young woman with heavy periods?
- 19 What is a hysterectomy?
- 20 What are the indications for hysterectomy?
- 21 What are the risks (complications) of hysterectomy?
- 22 What is vault granulation?
- 23 What are the different types of hysterectomy?
- 24 Is it essential to remove the neck of the womb at hysterectomy?
- 25 Should my ovaries be removed or conserved during hysterectomy?
- 26 How long will I be in hospital when I have my hysterectomy?
- 27 I have had a hysterectomy. Do I still need to have smear tests?
- 28 What are the other surgical alternatives to hysterectomy?
- 29 How do endometrial ablation and hysterectomy compare?
- 30 Are there any psychological effects following hysterectomy?
- 31 How do we decide the best treatment for my period problems?
- 32 Could I have some recommended hysterectomy support groups?
- 33 Are there any support groups?
- Intermenstrual Bleeding - Bleeding between periods.
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
