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A ‘classic’ case of heavy menstrual bleeding? 

A ‘classic’ case of heavy menstrual bleeding?
Chapter:
A ‘classic’ case of heavy menstrual bleeding?
Author(s):

Mohan Shruti

, and Tay Jasmine

DOI:
10.1093/med/9780199654994.003.0001
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date: 18 January 2018

Clinicians are increasingly faced with women who delay pregnancy until later in life, a significant proportion of whom seek treatment for severe heavy menstrual bleeding. This case describes a case of heavy menstrual bleeding in a 41-year-old women with a fibroid uterus who initially wishes to preserve her fertility. It describes the progressive treatment ladder for symptomatic uterine fibroids suggested by the clinician as in cases where symptoms fail to respond to initial therapy or recur after a period of time. In particular, the challenge of counselling for uterine artery embolization with respect to fertility, as well as risks of repeated surgery in a woman with previous intra-abdominal surgery (in this case, 3 previous caesarean sections) is highlighted.

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