Evidence based treatment for menorrhagia is all except:: (A) OCPS, (B) Progesterone for three months cyclically, (C) Tranexamic acid, (D) Methotrexate
Answer is D. 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