Can a teenager have menorrhagia?
However, most adolescents do not experience blood loss severe enough to be considered heavy menstrual bleeding. It is not uncommon for an adolescent to experience heavy menstrual bleeding if they have irregular periods. Heavy menstrual bleeding can interfere with an adolescent’s normal activities and cause anemia.
What is the first line treatment for menorrhagia?
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-line medical therapy in ovulatory menorrhagia. Studies show an average reduction of 20-46% in menstrual blood flow. NSAIDs reduce prostaglandin levels by inhibiting cyclooxygenase and decreasing the ratio of prostacyclin to thromboxane.
What is the most common hormonal therapy used in puberty menorrhagia?
Norethisterone is the most commonly used oral progestogen in the treatment of HMB. This should be prescribed as a 5 mg tablet, to be taken three-times per day from day 5 to 26 of the menstrual cycle. This regimen has been shown to reduce blood loss by >80% [23].
What is the best treatment for menorrhagia?
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).
How to treat menorrhagia in premenopausal women?
Treatment options include: 1 Dilation and curettage (D&C). In this procedure, your doctor opens… 2 Uterine artery embolization. For women whose menorrhagia is caused by fibroids,… 3 Focused ultrasound surgery. Similar to uterine artery embolization,… 4 Myomectomy. This procedure involves surgical removal of uterine fibroids.
When do you need to change a pad for menorrhagia?
Menorrhagia can also mean you need to change a pad overnight, you’re passing clots larger than a 50 cent piece, or you bleed for more than 7-8 days. Heavy menstrual bleeding affects about one in five women 1) and is a common problem in the 30-50 year old age group.
How is abnormal uterine bleeding treated in adolescents?
Such patients should be managed in conjunction with the appropriate subspecialist. As an example, (see “Management of menorrhagia during chemotherapy” ).
How are oral contraceptive pills used to treat menorrhagia?
There is insufficient evidence to assess the effectiveness of monthly oral contraceptive pills for reducing menorrhagia. 2 Although continuous-use oral contraceptive pills and injectable progestins reduce bleeding episodes over an extended period, 27 there have been no specific studies done for menorrhagia.
