Treatments for Menorrhagia
Treatments for Menorrhagia
The list of treatments mentioned in various sources
for Menorrhagia
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Menorrhagia: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Menorrhagia may include:
Hidden causes of Menorrhagia may be incorrectly diagnosed:
Menorrhagia: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Menorrhagia:
Menorrhagia: Research Doctors & Specialists
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Drugs and Medications used to treat Menorrhagia:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Menorrhagia include:
Latest treatments for Menorrhagia:
The following are some of the latest treatments for Menorrhagia:
Hospitals & Medical Clinics: Menorrhagia
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More general information, not necessarily in relation to Menorrhagia,
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Medical news summaries about treatments for Menorrhagia:
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Book Excerpts: Treatment of Menorrhagia
Treatments of Menorrhagia: Online Medical Books
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for more information about the treatments of Menorrhagia.
Dysmenorrhea:
Treatment
(In a Page: Signs and Symptoms)
- Primary dysmenorrhea is initially treated with NSAIDs
–High-dose ibuprofen may be administered beginning the day before the onset of menses
–Oral contraceptives with or without NSAIDs may be effective when NSAIDs alone are inadequate
–Low-fat vegetarian diet, a fish oil supplement, and vitamin E may reduce pain severity
- Patients unresponsive to NSAIDs and oral contraceptives should be evaluated for pelvic pathology (secondary dysmenorrhea)
–Endometriosis: GnRH analogs, danazol; laparoscopy in severe cases; treat infertility if necessary
–Adenomyosis: Hysterectomy is treatment of choice
–Leiomyoma: Removal, embolization, hysterectomy
–Pelvic inflammatory disease: Antibiotics, oral
contraceptives (to prevent ectopic pregnancy), treat infertility if necessary
–Treat depression and/or anxiety as necessary
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Menorrhagia:
Emergency Interventions
(Handbook of Signs & Symptoms (Third Edition))
Evaluate the patient’s hemodynamic status by taking orthostatic vital signs. Insert a large-gauge I.V. line to begin fluid replacement if the patient shows an increase of 10 beats/ minute in pulse rate, a decrease of 10 mm Hg in systolic blood pressure, or other signs of hypovolemic shock, such as pallor, tachycardia, tachypnea, and cool, clammy skin. Place the patient in a supine position with her feet elevated, and administer supplemental oxygen as needed.
Use menstrual pads to obtain information related to the quality and quantity of bleeding. Then prepare the patient for a pelvic examination to help determine the cause of bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Dysmenorrhea:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Initial treatment aims to relieve pain. Pain-relief measures may include:
❑ analgesics (such as aspirin) for mild to moderate pain (most effective when taken 24 to 48 hours before onset of menses; are especially effective for treating dysmenorrhea because they also inhibit prostaglandin synthesis; stronger anti-inflammatories may be used.
❑ opioids if pain is severe (infrequently used)
❑ prostaglandin inhibitors (such as mefenamic acid and ibuprofen) to relieve pain by decreasing the severity of uterine contractions
❑ cox-2 inhibitors (such as celecoxib, rofecoxib, and valdecoxib) to promote comfort
❑ heat applied locally to the lower abdomen (may relieve discomfort in mature women but isn’t recommended in young adolescents because appendicitis may mimic dysmenorrhea).
For primary dysmenorrhea, administration of sex steroids is an effective alternative to treatment with antiprostaglandins or analgesics. Such therapy usually consists of hormonal contraceptives to relieve pain by suppressing ovulation. However, patients who are attempting pregnancy should rely on antiprostaglandin therapy instead of hormonal contraceptives to relieve symptoms of primary dysmenorrhea.
Because persistently severe dysmenorrhea may have a psychogenic cause, psychological evaluation and appropriate counseling may be helpful.
In secondary dysmenorrhea, treatment is designed to identify and correct the underlying cause. This may include surgical treatment of underlying disorders, such as endometriosis or uterine leiomyomas. However, surgical treatment is recommended only after conservative therapy fails.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dysmenorrhea:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
If dysmenorrhea is idiopathic, advise the patient to place a heating pad on her abdomen to relieve the pain. This therapy reduces abdominal muscle tension and increases blood flow.
Effleurage, a light circular massage with the fingertips, may also provide relief. Other comfort measures include drinking warm beverages, taking a warm shower, performing waist-bending and pelvic-rocking exercises, and walking. Inform the patient that increasing aerobic exercise and dietary intake of vitamin B1 and fish oil capsules have also proved effective in relieving dysmenorrhea.
Inform the patient that taking a nonsteroidal anti-inflammatory drug (NSAID) 1 to 2 days before the onset of menses is usually helpful. If she isn’t trying to get pregnant, taking monophasic birth control pills is also beneficial. Warn the patient that both of these treatments may reduce menstrual flow and duration. Be sure to rule out the possibility of pregnancy before starting contraceptive or NSAID therapy. Explain the actions and adverse effects of these drugs. (See Relief for dysmenorrhea.)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Menorrhagia:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
Evaluate hemodynamic status by taking orthostatic vital signs. Insert a large-gauge I.V. line to begin fluid replacement if the patient shows an increase of 10 beats/minute in pulse rate, a decrease of 10 mm Hg in systolic blood pressure, or other signs of hypovolemic shock, such as pallor, tachycardia, tachypnea, and cool, clammy skin. Place the patient in a supine position with her feet elevated, and administer supplemental oxygen as needed.
Use menstrual pads to obtain information related to the quality and quantity of bleeding. Then prepare the patient for a pelvic examination to help determine the cause of bleeding.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Dysmenorrhea:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Assess the patient's level of discomfort and use pharmacologic and nonpharmacologic methods to relieve discomfort.
Patient teaching
▪ Encourage the patient to view dysmenorrhea as a medical problem—not as a sign of maladjustment—and explain her treatment options. (See Relief for dysmenorrhea.)
▪ Explain the cause of the patient's dysmenorrhea once a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Metrorrhagia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Encourage bed rest to reduce bleeding.
▪ Give an analgesic for discomfort.
Patient teaching
▪ Explain signs and symptoms that require immediate attention.
▪ Explain all procedures and treatments.
▪ Discuss the importance of regular gynecologic examinations and Pap smears.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Menorrhagia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Monitor the patient's vital signs and observe closely for signs of hypovolemia.
▪ Encourage the patient to maintain an adequate fluid intake, insert an I.V. catheter for fluid or blood administration.
▪ Monitor intake and output, and estimate uterine blood loss by recording the number of sanitary napkins or tampons used during an abnormal menses and comparing this with usage during a normal menses.
▪ Obtain blood samples for hematocrit, prothrombin time, partial thromboplastin time, and International Normalized Ratio levels.
Patient teaching
▪ Explain all procedures and treatments to the patient.
▪ Discuss the need to rest and to avoid strenuous activities until bleeding subsides.
▪ Teach signs and symptoms that require immediate medical attention.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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