How best to manage dysfunctional uterine bleeding.
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.
Maness
David L
DL
Department of Family Medicine, University of Tennessee Health Science Center, Memphis, TN, USA. dmaness@uthsc.edu
Reddy
Avinash
A
Harraway-Smith
Carolyn L
CL
Mitchell
Gregg
G
Givens
Vanessa
V
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001706:Biopsy; D003271:Contraceptive Agents, Female / Q000627:therapeutic use; D003613:Danazol / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004717:Endometrium / Q000601:surgery; D004965:Estrogen Antagonists / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D016912:Levonorgestrel / Q000627:therapeutic use; D008487:Medical History Taking; D008796:Metrorrhagia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D012307:Risk Factors; D014463:Ultrasonography
D000894:Anti-Inflammatory Agents, Non-Steroidal; D003271:Contraceptive Agents, Female; D004965:Estrogen Antagonists; D016912:Levonorgestrel; D003613:Danazol