Evidence based treatment for menorrhagia is all except:
Menorrhagia - Increased menstrual flow (>80ml) / increased duration at regular cycles. (>5 days) Treatment 1st line - NSAIDS Tranexamic acid 2nd line - hormones - Progesterone > estrogen Danazol GnRh analogues- stops periods. 3rd line - Surgical management Dilatation and Currettage Endometrial ablation Hysterectomy
OCPS
Progesterone for three months cyclically
Tranexamic acid
Methotrexate
Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception