The medical management of abnormal uterine bleeding in reproductive-aged women

Bradley, Linda D.; Gueye, Ndeye-Aicha

doi:10.1016/j.ajog.2015.07.044

Cited by 142 publications

(92 citation statements)

References 95 publications

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“…The OBGYNs who participated in our study were aware that the use of monophasic COCs with EE in a 21/7 regimen presented low effectiveness in the treatment of women with HMB. COCs are in use worldwide to treat women with acute and chronic HMB, despite the lack of reliable information from a randomized clinical trial (RCT) to support the use [21]. Additionally, Matteson and coworkers recommended the use of LNG-IUS over COCs, luteal phase progestogens, and nonsteroidal anti-inflammatory drugs [22].…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Latin American Obstetricians and Gynecologists regarding Heavy Menstrual Bleeding

Bahamondes

Marin

Ciarmatori

et al. 2016

Obstetrics and Gynecology International

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Background. Heavy menstrual bleeding (HMB) is a common gynecological complaint affecting quality of life. Objectives. To assess knowledge on diagnosis and treatments of HMB of Latin American (LA) obstetricians and gynecologists (OBGYNs). Methods. A survey was conducted during a scientific meeting, organized to provide updated information on topics of reproductive medicine to OBGYNs from 12 LA countries who were invited to respond to a multiple-choice questionnaire. Results. Of the 210 OBGYNs participating in the survey, from 169 (80.4%) to 203 (96.7%) answered the questions. Most respondents (80%) gave accurate answers regarding the amount of blood loss which defines HMB, underreported the proportion of women who consulted due to HMB, and were aware that the use of combined oral contraceptives (COCs) with ethynyl estradiol is not an adequate treatment in women with HMB. Female OBGYNs and those who worked in the private sector were more prone to report a higher possibility of improvement of HMB with a COC that contained estradiol valerate and dienogest or with a levonorgestrel-releasing intrauterine system. Conclusions. In general, the respondents were aware of the importance of HMB in gynecological practice and of the new medical treatments and underreported the proportion of women who consulted due to HMB.

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Section: Discussionmentioning

confidence: 99%

Knowledge of Latin American Obstetricians and Gynecologists regarding Heavy Menstrual Bleeding

Bahamondes

Marin

Ciarmatori

et al. 2016

Obstetrics and Gynecology International

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“…So kann ein blutungsfreies Intervall geschaffen werden -ergänzend zur Therapie einer Anämie und zur psychischen Erholung der Patientin. Zusätzlich ist in den USA auch die i. v.-Gabe von konjugierten equinen Östrogenen zur Akuttherapie einer anormalen uterinen Blutung zugelassen [4].…”

Section: Diagnostisches Vorgehenunclassified

“…Im Anschluss an die Abbruchblutung kann sofort mit einer endokrinen Diagnostik begonnen werden. Auch in der Langzeittherapie anormaler uteriner Blutungen können Gestagene in unterschiedlicher Darreichungsform erfolgreich angewendet werden [4].…”

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Endokrinologische Notfälle in der Gynäkologie

Murcia

Kiesel

2016

Gynäkologe

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“…Routine treatment so of menorrhagia include oral contraceptives with estrogen or progesterone alone, gonadotropinreleasing hormone agonists, anti-fibrinolytics, nonsteroidalanti-inflammatory drugs such as mefenamic acid and desmopressin 5 . Surgical treatments include endometrial ablation and hysterectomy 6 .…”

Section: Ijpsr (2018) Volume 9 Issue 4 (Research Article)mentioning

confidence: 99%

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2018

IJPSR

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Introduction: Menorrhagia that means excessive uterine bleeding is one the most common reasons that women refer to gynecological centers. Despite the use of "Quince paste" in Iranian Traditional Medicine (ITM) clinics, no studies have been done in this regard. Objectives: This study was carried out to investigate the effect of "Quince paste" on uterine bleeding in patients with menorrhagia. Materials and methods: This study was a clinical trial of before-after pilot study conducted on 35 patients aged 18-50 years suffering from menorrhagia. A tea spoonful of "Quince paste" after each meal was prescribed for two months. A pictorial form was completed to determine bleeding volumes and days as well as quality of life questionnaire before and at the end of the intervention. Results: Patients age was 33.8 ± 10.8 years and BMI was 28.94 ± 14.07. Bleeding score decreased significantly after two months of intervention (from 264.2 ± 198.9 to 125.8±155.9), (p<0.001). Quality of life score decreased significantly from 30.28 ± 5.73 to 22.02 ± 3 (p<0.001). Bleeding days decreased significantly in comparison with the baseline because of the treatment (p<0.001). Conclusion: It seems like that "Quince paste" can reduce the volume and duration of bleeding in patients with menorrhagia and improve their quality of life. It seems that "Quince paste" could be introduced as a treatment for menorrhagia based on ITM. INTRODUCTION:Menorrhagia means excessive bleeding (more than 80 ml of blood) or bleeding or along term (more than or equal to 8 days) that occurs at regular intervals 1 . Menorrhagia is one of the most common gynaecological problems the occurrence of which increases with age. More than 30% of women of child bearing age and 60% of the total women population experience it. This disorder totally forms 12% of the reason for referral to gynecologists.

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The medical management of abnormal uterine bleeding in reproductive-aged women

Cited by 142 publications

References 95 publications

Knowledge of Latin American Obstetricians and Gynecologists regarding Heavy Menstrual Bleeding

Knowledge of Latin American Obstetricians and Gynecologists regarding Heavy Menstrual Bleeding

Endokrinologische Notfälle in der Gynäkologie

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