during pandemics. 1 2 3 Antifibrinolytics NSAIDs Combined … · 2020. 8. 4. · All women with...

Read the full review at cochranelibrary.com

All women with heavy menstrual bleeding should increase their dietary intake of iron and consider iron supplements

Contact: Dr James Du�y @jamesmndu�y james.du�y3@nhs.net

Treatments can be unsuitable for certain women

All treatments reduce heavy menstrual bleeding

Antifibrinolytics NSAIDs Combined hormonal contraceptives

Treatments can cause common side e�ects a�ecting 1 in 10 women

The Cochrane Gynaecology and Fertility Group has summarised the research evidence for treatments which are commonly available during pandemics.

A decision aid to support discussions about the di�erent treatment options commonly available during pandemics

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HeadachesDizzinessIndigestion

Nausea and vomittingDiarrhoea

Cannot be used for contraception Cannot be used for contraception Does provide reliable contraception

Breast tendernessBreak-through bleedingWeight gain

Mood changesHeadacheNausea

HeartburnStomach ulcersInflammatory bowel disease

Tranexamic acidDose: 1gFrequency: Three times a day for five days

Mefenamic acidTotal dose: 500mgFrequency: Three times a day

Combined oral contraceptive pillTotal dose: VariableFrequency: Once a day

Not advised in older women or women with a history of:

Not advised in women with a history of:

Not advised in women with a history of:

Seizures Blood clots in the legs or lungs

SmokingObesityHigh blood pressureBlood clots in the legs and lungs

1 2 3

Heavy menstrual bleeding a�ects up to 1 in 3 women

Only combined hormonal contraceptives can provide reliable contraception