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Updated: May 25, 2026
05:36
Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
Menorrhagia
Kirsten Duckitt1, Sally Collins
1Obstetrician and Gynaecologist, Campbell River and District General Hospital, Campbell River, Canada.
BMJ Clinical Evidence
|February 7, 2012
Summary
This systematic review evaluates medical and surgical treatments for heavy menstrual bleeding (menorrhagia). It found various interventions, including medications and surgical procedures, to manage this common gynecological condition.
Area of Science:
- Gynecology
- Reproductive Health
- Evidence-Based Medicine
Background:
- Menorrhagia significantly impacts women's daily activities and can lead to anemia.
- Potential causes include prostaglandin disorders, uterine fibroids, adenomyosis, and intrauterine device (IUD) use.
- A significant number of hysterectomies for menorrhagia are performed on uteri without apparent pathology.
Purpose of the Study:
- To systematically review the effects of medical treatments for menorrhagia.
- To systematically review the effects of surgical treatments for menorrhagia.
- To assess endometrial thinning prior to endometrial destruction for menorrhagia treatment.
Main Methods:
- Conducted a systematic review of literature up to June 2011.
- Searched major databases including Medline, Embase, and The Cochrane Library.
- Included harms alerts from regulatory agencies like the FDA and MHRA.
Main Results:
- Included 39 systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Evaluated the quality of evidence for various interventions using the GRADE system.
- Identified information on the effectiveness and safety of numerous treatments.
Conclusions:
- Information on medical interventions such as combined pills, danazol, etamsylate, gonadorelin analogues, intrauterine progesterone, NSAIDs, and progestogens is presented.
- Information on surgical interventions including dilatation and curettage, endometrial destruction, and hysterectomy is presented.
- The review synthesizes evidence on the effectiveness and safety of these menorrhagia treatments.
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