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Management of Menorrhagia

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Health & Medicine
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Management of Menorrhagia (Heavy Menstrual Bleeding) Dr Tan Yiap Loong Obstetric and Gynaecology Department Sarawak General Hospital
Definition ,[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object]
How common is it? ,[object Object]
Normal Menstrual Cycle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Previously…………. ,[object Object],[object Object],[object Object],[object Object]
Now…………. ,[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is our goal? ,[object Object],[object Object]
How should I assess a woman with menorrhagia?
History and Physical Examination ,[object Object],[object Object],[object Object],[object Object]
History and Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
History and Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations (Laboratory) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations (Structural and Histological) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations (Structural and Histological) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What advice and counselling should I give to a woman with menorrhagia?
Discuss……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Give…….. ,[object Object],[object Object]
When should I prescribe pharmaceutical treatment in women presenting with menorrhagia?
Drug Treatment ,[object Object],[object Object],[object Object]
Drug Treatment ,[object Object],[object Object],[object Object],[object Object]
Drug Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What should I do if initial drug treatment is ineffective in a woman with menorrhagia? ,[object Object],[object Object],[object Object]
How can I rapidly stop heavy bleeding, if necessary? ,[object Object]
Not Recommended ,[object Object],[object Object],[object Object]
When should I refer? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Treatment ,[object Object],[object Object]
Non-hysterectomy or interventional radiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-hysterectomy or interventional radiology ,[object Object],[object Object]
Non-hysterectomy or interventional radiology ,[object Object],[object Object]
Hysterectomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hysterectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Many Thanks
Referrences ,[object Object],[object Object]
 

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Management of Menorrhagia

  • 1. Management of Menorrhagia (Heavy Menstrual Bleeding) Dr Tan Yiap Loong Obstetric and Gynaecology Department Sarawak General Hospital
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  • 14. How should I assess a woman with menorrhagia?
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  • 21. What advice and counselling should I give to a woman with menorrhagia?
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  • 24. When should I prescribe pharmaceutical treatment in women presenting with menorrhagia?
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