Menorrhagia also may be treated with the levonorgestrel-releasing intrauterine devices (IUD). This is a very effective treatment that consistently reduces menstrual

12 20 22

flow by 90% or greater. ' Its use has resulted in the postponement or cancellation of scheduled endometrial resection surgery or hysterectomy. Specifically, 60% of


treated patients have been able to avoid hysterectomy.

FIGURE 49-4. Treatment algorithm for menorrhagia.

Progesterone therapy either during the luteal phase of the menstrual cycle or for 21

days starting on day 5 after the onset of menses results in a 32% to 50% reduction

in menstrual blood loss. Its use has not been shown to be superior to other medical

treatments, including NSAIDs. In addition, it is not associated with any contraceptive benefit.19

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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