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Stopping heavy menstrual bleeding (other pathology excluded)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Oral progestogens at large doses such as norethisterone 30 mg daily can be successfully used to control torrential bleeding (flooding):

  • a regime of norethisterone at a dose of 30mg per day is inititated (which is generally effective within 24-48 h); the dose can then be reduced by 5mg per day and then stopped. This regime will be followed by a withdrawal bleed

The cause for the heavy menstrual bleeding must be investigated.

Reference:

  1. Oehler MK, Rees MCP. Menorrhagia: an update. Acta Obstetricia et Gynecologica Scandinavica 2003; 82 (5): 405-422

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