Many Women Still Have Heavy Menstrual Bleeding Leading To Anemia

Medical Research: Dr. Nelson: The clinical impact heavy menstrual bleeding has often been expressed in terms of quality of life issues, but many women have heavy and prolonged bleeding that can lead to serious medical problems. The frequency with which women were treated at Harbor-UCLA Medical Center with profoundly low hemoglobin levels prompted us to do a comprehensive review of such women during a recent five year period to remind readers that even in the 21^st century, this is not an uncommon problem. Overall 149 woman were treated 168 times for severe anemia (hemoglobin < 5.0 g/dL); 40% had previously been transfused (but not effectively treated). Over a quarter had reactive thrombocytosis which placed them at high risk for thrombosis (DVT, PE, and stroke). Over a third were discharged without therapy to prevent recurrence.

Use of progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding

Cochrane: This Cochrane review has evaluated whether the levonorgestrel–releasing intrauterine system (LNG IUS) reduces heavy menstrual bleeding and whether it is safe and acceptable. Heavy or excessive menstrual bleeding is a common problem in women before they reach the menopause. Women who feel that their menstrual bleeding is excessive will have reduced quality of life and are likely to seek medical help.