How best to manage dysfunctional uterine bleeding

David L Maness, Avinash Reddy, Carolyn L Harraway-Smith, Gregg Mitchell, Vanessa Givens, Vanessa M. Givens
The Journal of family practice · 2010 · vol. 59(8) , pp. 449–58 · PMID:20714455 · W87683973
Review OA: closed CC0 ⤵ 2 in-corpus citations
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This paper outlines management strategies for dysfunctional uterine bleeding, recommending conservative treatments for mild cases and endometrial assessment for postmenopausal women.

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Abstract

Irregular or unusually heavy periods are a common complaint. Most often, the condition is benign and can by managed conservatively. Assess postmenopausal women for cancer by endometrial biopsy, transvaginal ultrasound, or saline infusion sonohysterogram. Treat mild dysfunctional uterine bleeding (DUB) with nonsteroidal anti-inflammatory drugs, levonorgestrel intrauterine device (IUD), or danazol. Treat moderate DUB with oral contraceptive pills, levonorgestrel IUD, danazol, or tranexamic acid.

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MeSH descriptors

Metrorrhagia Metrorrhagia Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Biopsy Contraceptive Agents, Female Contraceptive Agents, Female Danazol Danazol Diagnosis, Differential Endometrium Endometrium Estrogen Antagonists Estrogen Antagonists Female Humans Intrauterine Devices Levonorgestrel Levonorgestrel Medical History Taking

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License: CC0 · commercial use OK