Management Strategies for Primary Menorrhagia

  • Roger P. Smith


Unlike primary dysmenorrhea, the managements of primary and secondary menorrhagia are often intertwined and complicated by the prevalence of difficult-to-identify secondary causes. When true primary menorrhagia is encountered, the same prostaglandin reduction strategies that work so well in primary dysmenorrhea work well for heavy menstrual bleeding. They also work well for many forms of secondary menorrhagia, raising the possibility that underlying pathologies may be missed if a careful assessment is not carried out before treatment, with equally careful monitoring after initiation. Treatment without such evaluation and care may miss symptoms of an easily corrected condition or neoplastic disease.


Pharmacology Non-steroidal anti-inflammatory drug (NSAID) Hormonal treatment Antifibrinolytics Surgical management Decision tree Intrauterine therapy Contraception 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Roger P. Smith
    • 1
  1. 1.Florida Atlantic UniversityBoca RatonUSA

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