The best treatment for abnormal bleeding (specifically, abnormal uterine bleeding - AUB) typically involves medical options as the initial approach, with hormonal methods often serving as the first line of medical management.
Here's a breakdown of common treatments for acute abnormal uterine bleeding (AUB):
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Hormonal Methods:
- Intravenous (IV) Conjugated Equine Estrogen: Used in cases of acute, heavy bleeding.
- Combined Oral Contraceptive Pills (OCPs): Effective in regulating the menstrual cycle and reducing bleeding. Often prescribed in higher doses initially for acute bleeding.
- Oral Progestins: Help regulate the uterine lining and decrease bleeding.
Keep in mind that this information is not exhaustive, and the "best" treatment depends on the underlying cause of the bleeding, the patient's medical history, age, and desire for future fertility. A thorough evaluation by a healthcare professional is crucial for determining the most appropriate course of action. Other treatments, including surgical interventions, may be necessary in some cases.
