Dysmenorrhoea Menorrhagia Painful Heavy Period Guidelines
Dysmennorhea- Painful Period Pathway- primary and secondary dysmenorrhoea.
HEAVY MENSTRUAL BLEEDING TOP TIPS -
check NICE CKS guidelines
Examination and FBC (TSH)
Trial of RX 2-3 months
1 Mirena IUS (12 months)
2 Tranexamic Acid (or Nsaids)
3 Progesterone (NET 5mg tds day 5-26) or Depo
ULTRASOUND (do at an earlier stage if clinically indicated)
Once the above has taken place then consider referral for surgical
options.
Check 2 WEEK WAIT REFERRAL CRITERIA
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Clinical support group
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Women's and Sexual Health
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