45 year old woman, presented with heavy vaginal bleeding what to do: Mefenamic acid, Hysterectomy, IUD?
Understand the Problem
The question is asking for the appropriate course of action for a 45-year-old woman presenting with heavy vaginal bleeding. The options provided suggest a medical decision-making process regarding treatment.
Answer
NSAIDs, hormonal IUDs, or hysterectomy can be considered for heavy vaginal bleeding in a 45-year-old woman.
For heavy vaginal bleeding in a 45-year-old woman, treatments include medical options like NSAIDs (mefenamic acid), hormonal treatments such as IUDs like Mirena, or surgical options like hysterectomy depending on the severity and patient's condition.
Answer for screen readers
For heavy vaginal bleeding in a 45-year-old woman, treatments include medical options like NSAIDs (mefenamic acid), hormonal treatments such as IUDs like Mirena, or surgical options like hysterectomy depending on the severity and patient's condition.
More Information
Heavy menstrual bleeding, also known as menorrhagia, can significantly impact quality of life. Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) that can reduce bleeding by 33% to 55%. Hormonal IUDs, like Mirena, can be an effective non-surgical alternative. A hysterectomy is a more definitive surgical option.
Tips
A common mistake is not considering the full range of treatment options. It's important to tailor treatment to the individual's needs and severity of symptoms.
Sources
- Surgery versus medical therapy for heavy menstrual bleeding - PMC - pmc.ncbi.nlm.nih.gov
- IUD and hysterectomy best options for heavy bleeding - thewomens.org.au
- Investigating and managing abnormal vaginal bleeding: an overview - bpac.org.nz
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