What is the best treatment for metrorrhagia?

Medical therapy for menorrhagia may include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss.
  • Tranexamic acid.
  • Oral contraceptives.
  • Oral progesterone.
  • Hormonal IUD (Liletta, Mirena).

What is metrorrhagia and how is it treated?

It is caused by hormone problems, problems with the uterus, or other health conditions. Menorrhagia is diagnosed with a pelvic exam, ultrasound, pap test, and sometimes a biopsy. Treatment includes hormones, or other medicine, or procedures to treat the uterine lining or remove the uterus.

How do you investigate abnormal uterine bleeding?

Laboratory studies for patients with abnormal uterine bleeding (AUB) may include human chorionic gonadotropin (HCG), complete blood count (CBC), Pap smear, endometrial sampling, thyroid functions and prolactin, liver functions, coagulation studies/factors, and other hormone assays as indicated.

What is the difference between metrorrhagia and menorrhagia?

Menorrhagia is heavy bleeding, including prolonged menstrual periods or excessive bleeding during a normal-length period. Metrorrhagia is bleeding at irregular intervals, particularly between expected menstrual periods.

What’s the cause of metrorrhagia?

Common causes of metrorrhagia include pregnancy, use of certain contraceptives (especially Depo-Provera) and intrauterine devices, and STIs. Other causes include coagulation disorders, genital trauma, neoplasms, and infections such as tuberculosis.

What is the first-line treatment for menorrhagia?

The two main first-line treatments for menorrhagia associated with ovulatory cycles are nonhormonal: the antifibrinolytic tranexamic acid and nonsteroidal anti-inflammatory drugs (see box). The effectiveness of these treatments has been shown in randomized trials20,21,22 and reported in systematic reviews of treatment.

What is the first line diagnostic tool in abnormal uterine bleeding?

For acute abnormal uterine bleeding, hormonal methods are the first-line in medical management. Intravenous (IV) conjugated equine estrogen, combined oral contraceptive pills (OCPs), and oral progestins are all options for treating acute AUB.

Is Diane 35 stop bleeding?

Irregular vaginal bleeding usually stops once your body has adjusted to Diane-35 ED, usually after about 3 months.