Advising on contraception in women over 40

Robinson, Gina; ba, Ba; Pgce,

doi:10.12968/indn.2010.15.7.77624

Independent Nurse

2010

DOI: 10.12968/indn.2010.15.7.77624

|View full text |Cite

Advising on contraception in women over 40

Gina Robinson¹,

Ba ba²,

Pgce Pgce³

Abstract: Pre-existing medical problems and lifestyle will influence the options, writes Gina Robinson.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2014

2015

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS

Matytsina-Quinlan¹,

Matytsina

2014

BMJ Case Reports

View full text Add to dashboard Cite

A female patient in her mid 40s presents with heavy menstrual bleeding (HMB) and a history of spotting/irregular light per vagina (PV) bleeding since intrauterine system (IUS) insertion 1 year ago. She is known to have submucosal uterine fibroid (SMUF). The patient reported abdominal pain and sudden onset of 'miscarriage-like' HMB with clots 2 days ago. On speculum examination there was a smooth round-shaped mass lying over the external cervical os. On bimanual examination PV, a round-shaped smooth mass of a walnut's size was palpable in the upper third of the vagina. Subsequent ultrasound imaging revealed an SMUF prolapsed into the vagina. Further surgical treatment was undertaken. Histology showed a fibroid (leiomyoma) with no evidence of malignancy.

show abstract

Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS

Matytsina-Quinlan¹,

Matytsina

2014

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

Abnormal excessive per vagina (PV) bleeding on Esmya–selective progesterone receptor modulator (SPRM) in a symptomatic patient with uterine fibroid

Matytsina-Quinlan

Matytsina

2015

BMJ Case Reports

View full text Add to dashboard Cite

A woman in her late 40s presented with excessive per vagina (PV) bleeding and uterine fibroid. She reported excessive PV bleeding after starting Esmya; she was brought in by ambulance to the emergency department with profuse bleeding. Abnormal uterine bleeding (AUB) developed after selective progesterone receptor modulator (SPRM) administration in this symptomatic patient with uterine fibroid. The drug was withheld and surgical treatment considered. Progressive deterioration of PV bleeding after receiving SPRM led to an urgentlaparoscopictotal hysterectomy, which had to be postponed due to severe anaemia. Surgery took place regardless because the excessive bleeding continued. Histology revealed a 6 cm submucosal uterine fibroid (SMUF) and adenomyosis. Physicians prescribing SPRMs to stop PV bleeding should be aware of potential AUB, which could lead to urgent hysterectomy. The mechanism of action of SPRMs is not clearly understood. Awareness of the side effects of Esmya, such as AUB, must be kept in mind when administering SPRMs.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Advising on contraception in women over 40

Abstract: Pre-existing medical problems and lifestyle will influence the options, writes Gina Robinson.

Cited by 2 publications

References 1 publication

Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS

Submucosal uterine fibroid prolapsed into vagina in a symptomatic patient with IUS

Abnormal excessive per vagina (PV) bleeding on Esmya–selective progesterone receptor modulator (SPRM) in a symptomatic patient with uterine fibroid

Contact Info

Product

Resources

About