Options for When Simple Managements Are Not Enough

  • Roger P. Smith


Both menstrual pain and heavy menstrual bleeding no longer represent the debilitating threat they once posed. Inexpensive, safe, effective non-prescription therapy available without medical consultation means that dysmenorrhea is no longer the source of disability it once was. When this is not enough, prescription interventions offer exceptional efficacy. When heavy menstrual bleeding is experienced, the placement of a hormone-releasing intrauterine device (LNG-IUS) offers efficacy for 5 or more years with no further actions by the user. Normality can be restored, worry relieved, and function maintained.


Reassessment Surgical management Hormonal treatment Combined therapy Decision tree Contraception GnRH agonist Endometriosis Adhesions Hysteroscopy 


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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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