Medical treatment for heavy menstrual bleeding
Heavy menstrual bleeding, or menorrhagia, is subjectively defined as a “complaint of a large amount of bleeding during menstrual cycles that occurs over several consecutive cycles” and is objectively defined as menstrual blood loss of more than 80 mL per cycle that is associated with an anemia statu...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-10-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455915001515 |
| _version_ | 1818367018573758464 |
|---|---|
| author | Yi-Jen Chen Yiu-Tai Li Ben-Shian Huang Ming-Shyen Yen Bor-Ching Sheu Song-Nan Chow Peng-Hui Wang |
| author_facet | Yi-Jen Chen Yiu-Tai Li Ben-Shian Huang Ming-Shyen Yen Bor-Ching Sheu Song-Nan Chow Peng-Hui Wang |
| author_sort | Yi-Jen Chen |
| collection | DOAJ |
| description | Heavy menstrual bleeding, or menorrhagia, is subjectively defined as a “complaint of a large amount of bleeding during menstrual cycles that occurs over several consecutive cycles” and is objectively defined as menstrual blood loss of more than 80 mL per cycle that is associated with an anemia status (defined as a hemoglobin level of <10 g/dL). During their reproductive age, more than 30% of women will complain of or experience a heavy amount of bleeding, which leads to a debilitating health outcome, including significantly reduced health-related quality of life, and a considerable economic burden on the health care system. Although surgical treatment might be the most important definite treatment, especially hysterectomy for those women who have finished bearing children, the uterus is still regarded as the regulator and controller of important physiological functions, a sexual organ, a source of energy and vitality, and a maintainer of youth and attractiveness. This has resulted in a modern trend in which women may reconsider the possibility of organ preservation. For women who wish to retain the uterus, medical treatment may be one of the best alternatives. In this review, recent trends in the management of women with heavy menstrual bleeding are discussed. |
| first_indexed | 2024-12-13T22:45:23Z |
| format | Article |
| id | doaj.art-72e6df8779fa4f4494b9c5eee0e9ecaa |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-13T22:45:23Z |
| publishDate | 2015-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-72e6df8779fa4f4494b9c5eee0e9ecaa2022-12-21T23:28:44ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592015-10-0154548348810.1016/j.tjog.2015.08.001Medical treatment for heavy menstrual bleedingYi-Jen Chen0Yiu-Tai Li1Ben-Shian Huang2Ming-Shyen Yen3Bor-Ching Sheu4Song-Nan Chow5Peng-Hui Wang6Department of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Kuo General Hospital, Tainan, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanHeavy menstrual bleeding, or menorrhagia, is subjectively defined as a “complaint of a large amount of bleeding during menstrual cycles that occurs over several consecutive cycles” and is objectively defined as menstrual blood loss of more than 80 mL per cycle that is associated with an anemia status (defined as a hemoglobin level of <10 g/dL). During their reproductive age, more than 30% of women will complain of or experience a heavy amount of bleeding, which leads to a debilitating health outcome, including significantly reduced health-related quality of life, and a considerable economic burden on the health care system. Although surgical treatment might be the most important definite treatment, especially hysterectomy for those women who have finished bearing children, the uterus is still regarded as the regulator and controller of important physiological functions, a sexual organ, a source of energy and vitality, and a maintainer of youth and attractiveness. This has resulted in a modern trend in which women may reconsider the possibility of organ preservation. For women who wish to retain the uterus, medical treatment may be one of the best alternatives. In this review, recent trends in the management of women with heavy menstrual bleeding are discussed.http://www.sciencedirect.com/science/article/pii/S1028455915001515antifibrinolyticsheavy menstrual bleedingHMBlevonorgestrel-releasing intrauterine systemmedical treatment |
| spellingShingle | Yi-Jen Chen Yiu-Tai Li Ben-Shian Huang Ming-Shyen Yen Bor-Ching Sheu Song-Nan Chow Peng-Hui Wang Medical treatment for heavy menstrual bleeding Taiwanese Journal of Obstetrics & Gynecology antifibrinolytics heavy menstrual bleeding HMB levonorgestrel-releasing intrauterine system medical treatment |
| title | Medical treatment for heavy menstrual bleeding |
| title_full | Medical treatment for heavy menstrual bleeding |
| title_fullStr | Medical treatment for heavy menstrual bleeding |
| title_full_unstemmed | Medical treatment for heavy menstrual bleeding |
| title_short | Medical treatment for heavy menstrual bleeding |
| title_sort | medical treatment for heavy menstrual bleeding |
| topic | antifibrinolytics heavy menstrual bleeding HMB levonorgestrel-releasing intrauterine system medical treatment |
| url | http://www.sciencedirect.com/science/article/pii/S1028455915001515 |
| work_keys_str_mv | AT yijenchen medicaltreatmentforheavymenstrualbleeding AT yiutaili medicaltreatmentforheavymenstrualbleeding AT benshianhuang medicaltreatmentforheavymenstrualbleeding AT mingshyenyen medicaltreatmentforheavymenstrualbleeding AT borchingsheu medicaltreatmentforheavymenstrualbleeding AT songnanchow medicaltreatmentforheavymenstrualbleeding AT penghuiwang medicaltreatmentforheavymenstrualbleeding |