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    • Clinical Inquiries, 2009
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    Menstrual disturbances in perimenopausal women: What's best?

    Chen, Edward C.
    Danis, Peter G.
    Tweed, Elizabeth M.
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    [PDF] MenstrualDisturbancesPerimenopausal.pdf (96.42Kb)
    Date
    2009
    Format
    Article
    Metadata
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    Abstract
    It's best to start with nonsteroidal anti- inflammatory drugs (NSAIDs), which effectively reduce heavy menstrual bleeding (strength of recommendation [SOR]: B, systematic review of randomized clinical trials [RCTs]). Perimenopausal women with heavy bleeding not controlled by NSAIDs, or other forms of dysfunctional uterine bleeding, can benefit from continuous, combined hormonal therapy with estrogen and progestin; hormonal therapy with estrogen and a cyclical progestin; or a cyclical progestin alone (SOR: B, RCTs and a systematic review of RCTs). Intrauterine devices (IUDs) containing levonorgestrel also effectively reduce bleeding and may avoid surgical intervention (SOR: B, systematic review of RCTs).
    URI
    http://hdl.handle.net/10355/3887
    Part of
    Journal of family practice, 58, no. 06 (June 2009): 331c-331f.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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