Dysfunctional Uterine Bleeding (cont.)
IN THIS ARTICLE
Dysfunctional uterine bleeding (DUB) can usually be managed with medicine to reduce bleeding and/or hormone therapy to either stop or regulate menstrual periods. Surgical treatment is reserved for bleeding that can't be controlled with medicine or hormone therapy.
Acute, severe uterine bleeding
Severe uterine bleeding is usually treated on an emergency basis with a short course of high-dose estrogen therapy. If that isn't effective in rare cases, a dilation and curettage (D&C) may be done to clear the uterus of tissue. When needed, a blood transfusion is used to quickly restore needed blood volume.
If you are treated for severe uterine bleeding, you and your doctor can then choose a treatment that is safe for the longer term.
Ongoing uterine bleeding
Your age, the cause of your condition, and any future plans for pregnancy will impact the treatment choices available to you.
Gonadotropin-releasing hormone analogues (GnRH-As) are rarely used now. These drugs reduce estrogen production, making your body think it is in menopause. This reduces or stops menstrual periods for as long as you take the medicine. After you stop taking the medicine, your symptoms will come back unless you are close to menopause. Side effects with GnRH-As are common.
A medicine called tranexamic acid (such as Lysteda) is sometimes used for women who have bleeding that is heavier than normal. This medicine is not a hormone. It prevents bleeding by helping blood to clot. Talk to your doctor to find out if this option is right for you.
For more information about treatment options, see:
What to think about
If you are thinking of getting treatment for dysfunctional uterine bleeding, evaluate the following:
The answers to these questions will help you and your doctor select the treatment plan that is best for you.
eMedicineHealth Medical Reference from Healthwise
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