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Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):124-34. doi: 10.1016/j.ejogrb.2011.04.025. Epub 2011 Jun 1.

Evaluation and management of acute menorrhagia in women with and without underlying bleeding disorders: consensus from an international expert panel.

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1
Women's Hemostasis and Thrombosis Clinic, Duke University Medical Center, Durham, NC, USA. james031@mc.duke.edu

Abstract

Acute menorrhagia is a common gynecological disorder. Prevalence is high among women with inherited bleeding disorders and recent guidance for optimal management is lacking. Following a comprehensive review of the literature, an international expert panel in obstetrics, gynecology and hematology reached consensus on recommendations regarding the management of acute menorrhagia in women without a diagnosed bleeding disorder, as well as in patients with von Willebrand disease, platelet function disorders and other rare hemostatic disorders. The causes and predictors of acute menorrhagia are discussed and special consideration is given for the treatment of women on anticoagulation therapy. This review and accompanying recommendations will provide guidance for healthcare practitioners in the emergency management of acute menorrhagia.

PMID:
21632169
DOI:
10.1016/j.ejogrb.2011.04.025
[Indexed for MEDLINE]
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