Managing Heavy Menstrual Bleeding in Women at Risk of Thrombosis.

Published

Journal Article (Review)

Management of heavy menstrual bleeding (HMB) in a woman with a history of thrombosis, or who is otherwise at high risk of thrombosis, or who takes medications for anticoagulation can present a challenge to health care providers. The goal of treating HMB is to reduce menstrual blood loss. First-line therapy is typically hormonal, and hormonal therapy can be contraindicated in women with a history of thrombosis unless they are on anticoagulation. As 70% of women on anticoagulation experience HMB, successful management of HMB may involve a modification in the anticoagulation or antiplatelet regimen, hormonal therapy tailored to the patient's situation, and/or surgical therapy.

Full Text

Duke Authors

Cited Authors

  • Rivara, A; James, AH

Published Date

  • June 2018

Published In

Volume / Issue

  • 61 / 2

Start / End Page

  • 250 - 259

PubMed ID

  • 29596075

Pubmed Central ID

  • 29596075

Electronic International Standard Serial Number (EISSN)

  • 1532-5520

Digital Object Identifier (DOI)

  • 10.1097/GRF.0000000000000372

Language

  • eng

Conference Location

  • United States