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Volume 39, Issue 6
Publication date: December 1, 2013
Expiration date: December 1, 2016

Managing Heavy Menstrual Bleeding
Andrea S. Lukes, MD, MHSc (Moderator)
Founder, Carolina Women’s Research and Wellness Center; Partner, Women’s Wellness Clinic, Durham, North Carolina

Stephen P. Loehr, MD
Interventional Radiologist and Medical Director, Triangle Vascular Associates, Cary, North Carolina

Tiffany Marum, MD
Board-certified family physician, Durham, North Carolina

Learning Objectives
After completing this activity, the physician should be better able to:
1. Utilize descriptive terminology for menstrual bleeding.
2. Identify the new terms for classifying abnormal uterine bleeding.
3. Recognize how identifying the etiology of abnormal uterine bleeding can help guide treatment.
4. Describe the basics of uterine fibroid embolization.
5. Summarize clinical evidence on the effectiveness of tranexamic acid in the management of heavy menstrual bleeding.
6. Discuss the use of combined oral contraceptive pills (including different regimens) for the management of heavy menstrual bleeding.
7. Discuss the use of the levonorgestrel intrauterine system for heavy menstrual bleeding.


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