Drug-Induced Menorrhagia Quiz
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Missed period
Heavy periods
Heavy bleeding during periods
Spotting
Irregular period
Increased bleeding during periods
Prolonged heavy periods
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What is Drug-Induced Menorrhagia?
Abnormally heavy menstrual periods caused by blood-thinning medications, such as Aspirin and Warfarin.
Treatment of Drug-Induced Menorrhagia
Life-threatening bleeding may require medication and blood transfusions, and in some cases even surgical treatment. Stopping the blood-thinning medications may be needed but the risks of doing so have to balanced against the reason for being on such medications (example - prevention of stroke or heart attacks). These risks and benefits should be discussed with the appropriate specialist. (RPC reviewer comment - you may want to add an additional section for drug induced abnormal uterine bleeding, as then hormonal contraception, copper IUD etc would need to be reviewed. This is a much more common clinical scenario than heavy bleeding on blood thinners)
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
ACOG
https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2013/04/management-of-acute-abnormal-uterine-bleeding-in-nonpregnant-reproductive-aged-womenACOG Patient FAQ
https://www.acog.org/womens-health/faqs/abnormal-uterine-bleedingNational Institute of Health
https://www.ncbi.nlm.nih.gov/books/NBK532913/