Document Type : Preliminary preprint short reports of original research
Authors
1
Department of Obstetrics and Gynecology, Faculty of medicine
2
Department of Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University
3
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University
4
Department of Obstetrics & Gynaecology , Faculty of Medicine, Alexandria University
Abstract
INTRODUCTION
Abnormal uterine bleeding (AUB) refers to alterations in menstruation characterized by a rise in the quantity, length, or frequency of hemorrhage. Abnormal uterine bleeding has a negative impact on the emotional, physical, sexual, & professional elements of women's lives, hence deteriorating their overall quality of life. The etiologies of bleeding is called PALM-COEIN. Each letter in the acronym represents a specific cause of bleeding: Adenomyosis [A], uterine Polyp [P], Leiomyoma [L], precursor & Coagulopathies [C], Malignant lesions of the uterine body [M], Endometrial dysfunction [E],Ovulatory dysfunction [O], Iatrogenic [I], & Not yet classified [N]. Diagnosis of AUB depends on history, clinical examination and laboratory tests, imaging tests, hysteroscopy, endometrial biopsy and Pictorial Blood Loss Assessment Chart (PBAC). Treatment of AUB includes medical and surgical modalities.
AIM OF THE WORK
To compare the efficacy, safety & acceptability of oral tranexamic acid alone or with oral mefenamic acid versus LNG-IUS in cases of abnormal uterine bleeding.
Keywords