Tranexamic Acid and Depot-Medroxyprogesterone Acetate for Perimenopausal Irregular Uterine Bleeding
Abnormal uterine bleeding is a symptom and not a disease. It is one of the most frequently encountered complaints in gynecologic practice. It accounts for more than 70% of all gynecological consultations in the peri- and post-menopausal age group.
Abnormal uterine bleeding may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy.
Chronic heavy or prolonged uterine bleeding can result in anemia, interfere with daily activities. Iron deficiency anemia develops in 21 to 67 percent of cases and raises concerns about uterine cancer.
According to the International Federation of Obstetrics and Gynecology, the classification of abnormal uterine bleeding is based on PALM-COEIN which is an acronym for various etiologies namely polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial disorders, iatrogenic and not otherwise classified (PALM-COEIN).
|Condition or Disease||Intervention/Treatment||Phase|
Arms and Interventions
|Other: Tranexamic acid group
will tranexamic acid 500 mg 4 times daily in one group,
Drug: Tranexamic acid
will be given Tranexamic acid at 500 mg four times daily (2 g/day) during the bleeding episodes for 5 days. The dose is 250 mg.
|Other: Medroxyprogesterone acetate
will receive 150mg of medroxyprogesterone acetate once intramuscular.
Drug: Medroxyprogesterone Acetate 150 MG/ML
will be given MPA at 150 mg once intramuscular injection
Primary Outcome Measures
- Number of bleeding days [6 months]
Patients diagnosed, clinically as peri-menopausal abnormal uterine bleeding with normal pelvic examination.
Patient's age ranging from 40- 55y.
Post menopausal women
Presence of fibroids, adenomyosis, polyp, adnexal mass, endometrial hyperplasia with atypia, and breast malignancy).
Patients with uncontrolled hypertension.
Patient of abnormal bleeding profile.
history of liver impairment and renal insufficiency
Patients seeking for surgical management.
Contacts and Locations
|1||Women Health Hospital - Assiut university||Assiut||Egypt||71111|
Sponsors and Collaborators
- Assiut University
Study Documents (Full-Text)None provided.