title: Preventive treatment of intrauterine device-induced menstrual blood loss with tranexamic acid in Chinese women.
abstract: OBJECTIVE
  To investigate whether tranexamic acid (Transamin) therapy reduces the amount of menstrual blood loss (MBL) and occurrence of menorrhagia after intrauterine device (IUD) insertion.
  
  
  METHODS
  Some 175 Chinese women attending for IUD insertion were equally assigned into 2 Transamin groups (1,000 and 500 mg, twice daily) and a placebo group. Their MBL was recorded with a pictorial chart in 3 subsequent menstrual cycles after insertion, while the MBL of 64 patients, collecting used sanitary towels, was also measured by an alkaline hematin method.
  
  
  RESULTS
  A significant decline in post-insertion MBL and occurrence of menorrhagia was found in the 2 Transamin groups compared with the placebo group (p<0.05), whereas the difference in the results from the pictorial chart score was not statistically significant between the 1 g group and placebo group.
  
  
  CONCLUSIONS
  Transamin treatment with a generally recommended dosage can effectively reduce the amount of IUD-induced MBL and prevent menorrhagia in Chinese women. A lower dosage than recommended (50% of recommended dosage) may have a similar preventive effect.
authors: Shanghai Institute of Planned Parenthood Research, Shanghai, China.
authors: X
authors: X
authors: Lin
authors: E S
authors: ES
authors: Gao
authors: D
authors: D
authors: Li
authors: M
authors: M
authors: Zhang
authors: L X
authors: LX
authors: Dou
authors: W
authors: W
authors: Yuan
mesh_terms: D000328:Adult; D002681:China; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008595:Menorrhagia / Q000453:epidemiology / Q000517:prevention & control*; D011446:Prospective Studies; D013997:Time Factors; D014148:Tranexamic Acid / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D014148:Tranexamic Acid