Page 377 - Critical Maternity & Newborn Health Nursing

2- Oral Contraceptive Tablets. Two to four tablets daily until the

bleeding stop.

3- Estrogens: (Premarin) 25mg IV or IM and repeated after 4 hours if

necessary and up to 3 dose.

4- Danazol, is a synthetic androgen. Given in a dose of 200-400 mg by

mouth for 3 months

Surgical Treatment

1- Uterine Curettage.

Indications:-

- If bleeding is severe.

- If fails to respond lines of treatment.

- If patient above 40 years to exclude an organic cause in about 60% of

cases by removing the necrotic and endometrium.

2- Hysterectomy

Indications

- Indicated in a patient above 40 years when all lines of treatment fail

including repeated curettage at least twice.

Metrorrhageia: Irregular uterine bleeding not related to menstruation.

The cause is one of the following :

- Local lesion in genital tract which may be traumatic, inflammatory or

neoplastic .

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