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Tales from the clinic: options for perimenopausal bleeding, contraception and menopausal symptom control
Emily Keating1, Kristyn Manley1
1University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Abstract:
Women in the perimenopause need individualised advice to meet their specific health needs. Health needs may include the management of unscheduled bleeding, perimenopausal symptom control, and provision of contraception. Although the benefits of intra-uterine hormonal devices are well established to manage abnormal bleeding, provide contraception, and progestogenic opposition for hormonal replacement therapy, there are many women who choose not to use these methods. This article presents three cases of women presenting in the perimenopause where alternative medical management is offered with newer hormonal therapies: Drovelis, Dydrogesterone and Dienogest. In each case, consideration is made to the management of bleeding, perimenopausal symptom control, and provision of contraception.
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