By Joseph Hazan,M.D., FACOG
Some of the treatments will restore
periods to normal, while others will
stop the periods.
1) If the abnormal bleeding is caused
by lack of ovulation either starting
ovulation or regulating the cycles
can control the bleeding.
This is usually done with birth control
pills or cyclic progesterone.
2) In cases of PCOS (Polycystic
Ovary Syndrome) diet,exercise,weight
control, birth control pills if fertility
is not immediately wanted, or clomiphene
if fertility is wanted soon.
In cases of insulin resistance medications
and proper diet are beneficial.
3) Heavy periods can be temporarily
arrested by using a Progesterone IUD.
4) Fibroids can be removed.
This procedure is called myomectomy.
5) Endometriosis treatment options
are DMPA (Depomedroxyprogesterone
acetate) GnRH agonists, surgery, danazole,
Progesterone IUD. The appropriate choice
varies based on the individual situation.
6) Polyps are removed with hysteroscopy.
7) Bleeding due to clotting factor defects
are treated with various modalities.
In cases of von Willebrand disease the use
of NSAID’s (nonsteroidal antiinflammatory
drugs) such as Ibuprofen, Advil, Motrin,
Naproxen and some others should be avoided.
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