Created at 9:53 a.m. Mar, 30, 2025
Author:
yelbardisi
Co-authors:
andrewmathias8
Type of change:
Updated content
Rationale for change
Pretty sure for hemodynamically unstable patients - IV estrogen + tranexamic acid is given as first-line pharmacology and if non-responsive, surgical management is provided.
Also stated in another anki card nid: 1581367857256
Amboss as a source as well: https://next.amboss.com/us/article/G80BL3?q=heavy%20menstrual%20bleeding#Z93661aaa605ce3ffc907a7dbbf89a0b7
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- Heavy vaginal bleeding due to immature hypothalamic-pituitary-ovarian axis (no ovulation → persistent endometrial proliferation)
- Estrogen stabilizes the endometrium and stops menstrual bleeding, while progestin stabilizes the lining and prevents further proliferation
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