| November 2005 · Vol. 17, No. 11 OFFICE GYNECOLOGY DILEMMAS
Nonsurgical options for menorrhagia
What the data reveal about common therapies, and why you don’t need to “prove” menorrhagia before treating it
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Fast Track
Subjectivity is everything: 49% of women who complain of heavy periods have flow <80 mL, and 27.7% who report normal flow lose >80 mL of blood
Start NSAIDs at prescription strength at the onset of menses and continue past the time of heavy bleeding
Oral contraceptives reduced mean menstrual blood loss from 60.2 mL to 36.5 mL after 3 months
Menstrual blood loss decreased 74% to 97% 6 to 12 months after insertion of the progestin-releasing intrauterine system
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David
Chelmow,
MDProfessor and Residency Program Director, Department of Obstetrics and Gynecology, Division of General Obstetrics and Gynecology, Tufts–New England Medical Center,
Boston
LINDSEY’S CASE
Complaints of menorrhagia but normal findings
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