For acute abnormal uterine bleeding (AUB), hormonal methods are considered the first-line medical management approach. These methods aim to quickly control the bleeding and stabilize the uterine lining.
Hormonal Options for Acute AUB
The following hormonal options are commonly used as first-line treatments:
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Intravenous (IV) conjugated equine estrogen: This is typically reserved for cases of severe, acute bleeding where a rapid response is needed.
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Combined Oral Contraceptive Pills (OCPs): OCPs can help regulate the menstrual cycle and reduce bleeding. They are often a good option for women who are also seeking contraception.
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Oral Progestins: These medications help to thicken the uterine lining and reduce bleeding. They can be used alone or in combination with estrogen.
Why Hormonal Methods are First-Line
Hormonal methods are favored as first-line treatments because:
- They are often effective at quickly controlling acute bleeding.
- They can help regulate the menstrual cycle in the long term.
- They are relatively non-invasive compared to surgical options.
