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

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Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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