Prolonged dysfunctional uterine bleeding (PDUB) in women can be treated with a combination of medical and surgical approaches. Here are some common treatment options: Medical Treatments:
- Hormonal therapies:
- Progestins to regulate menstrual cycles
- Estrogen-progestin combination pills to stabilize endometrium
- Gonadotropin-releasing hormone (GnRH) agonists to reduce bleeding
- Tranexamic acid to reduce bleeding
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce bleeding and pain
- Antifibrinolytic agents to reduce bleeding Surgical Treatments:
- Endometrial ablation to remove or destroy the uterine lining
- Dilation and curettage (D&C) to remove uterine lining
- Hysteroscopy to visualize and treat uterine abnormalities
- Uterine artery embolization to block blood flow to the uterus
- Hysterectomy (last resort) to remove the uterus Other Options:
- Intrauterine devices (IUDs) like Mirena to release hormones and reduce bleeding
- Endometrial resection to remove excess uterine lining
- Thermal balloon ablation to heat and destroy uterine lining
- NovaSure ablation to heat and destroy uterine lining It's essential to consult a healthcare provider to determine the best treatment plan, as the choice of treatment depends on individual factors like age, medical history, and severity of bleeding.
