Once acute bleeding has been stopped, it is important to prevent its recurrence. Often hormonal therapies are also first-line treatment options for managing chronic heavy or prolonged menses. For outpatient management of acute abnormal uterine bleeding, hormonal therapies are first-line choices.
Progestin-only methods are at least as effective as estrogen-progestin therapies. The Munro regimen with high-dose oral progestin provides a higher level of patient satisfaction than high-dose COCs and can be used safely by greater numbers of women.
The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril. American College of Obstetricians and Gynecologists. Practice Bulletin no. Obstet Gynecol. Committee Opinion no. Evaluation and management of acute menorrhagia in women with and without underlying bleeding disorders: consensus from an international expert panel.
Acute adolescent menorrhagia. Am J Obstet Gynecol. Use of intravenous Premarin in the treatment of dysfunctional uterine bleeding-a double-blind randomized control study.
Rao KP. Treatment of menstrual disorders with a combination of norgestrel and ethynyl estradiol. Curr Med Pract. Foss GL. A clinical trial of a new totally synthetic low dose progestogen. J Reprod Fertil. Management of abnormal genital bleeding in girls and women.
N Engl J Med. Dysfunctional uterine bleeding in adolescents. J Reprod Med. Speroff L, Fritz MA. Clinical Gynecologic Endocrinology and Infertility. Philadelphia, PA. Fritz MA, Speroff L. High-dose medroxyprogesterone acetate for the treatment of dysfunctional uterine bleeding in 24 adolescents. Oral medroxyprogesterone acetate and combination oral contraceptives for acute uterine bleeding: a randomized controlled trial.
A new progestogen-only medical therapy for outpatient management of acute, abnormal uterine bleeding: a pilot study. Nonsteroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane DatabaseSyst Rev. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:.
It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects. This medicine comes with a patient information leaflet.
Read and follow the instructions in the leaflet carefully. Ask your doctor if you have any questions. If you are taking this medicine together with an estrogen medicine, carefully follow the schedule your doctor gives you for both medicines. The dose of this medicine will be different for different patients.
Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Medroxyprogesterone pronounced as me drox' ee proe jes' te rone. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow?
What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products Other names.
Other uses for this medicine. What special precautions should I follow? Before taking medroxyprogesterone, tell your doctor and pharmacist if you are allergic to medroxyprogesterone Provera, Depo-Provera , any other medications, or corn. Be sure to mention aminoglutethimide Cytadren. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. If you become pregnant while taking medroxyprogesterone, call your doctor immediately.
Medroxyprogesterone should never be used to test for pregnancy or to prevent miscarriage during the first few months of pregnancy. Medroxyprogesterone has not been shown to prevent miscarriage and may harm the fetus. Unless your doctor tells you otherwise, continue your normal diet.
Medroxyprogesterone may cause side effects.
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