Medical treatment for heavy menstrual bleeding

Yi Jen Chen, Yiu Tai Li, Ben Shian Huang, Ming Shyen Yen, Bor Ching Sheu, Song Nan Chow, Peng Hui Wang, Ruey Jian Chen, Yih Ron Lien, Men Luh Yen, Wen Chun Chang, Ting Chen Chang, Chii Hou Chen, Hsiang Tai Chao, Kuo Chang Wen, Chi Hong Ho, Hsiao Wen Tsai, Yen Hou Chang, Yi Wen Chang, Chi Yao ChenHuann Cheng Horng, Man Jung Hung, Kuan Hao Tsui, Jah Yao Liu, Mu Hsien Yu, Tze Ho Chen, Tang Yuan Chu, Wu Chou Lin, Yao Ching Hung, Hsu Dong Sun, Wen Yih Wu, Sheng Mou Hsiao, Yeou Lih Wang, Tze Chien Chen, Jian Pei Huang, Jeng Hsiu Hung, Kuo Hu Chen, Fa Kung Lee, Tsung Hsuan Lai, Ching Hui Chen, Meng Hsing Wu, Chin Jung Wang, Tzu Hao Wang, Ting Chang Chang, Ching Hung Hsieh, Kok Min Seow, Association of Gynecology Systematic Review Group Taiwan Association of Gynecology Systematic Review Group

Research output: Contribution to journalReview articlepeer-review

24 Citations (Scopus)


Heavy menstrual bleeding, or menorrhagia, is subjectively defined as a "complaint of a large amount of bleeding during menstrual cycles that occurs over several consecutive cycles" and is objectively defined as menstrual blood loss of more than 80 mL per cycle that is associated with an anemia status (defined as a hemoglobin level of <10 g/dL). During their reproductive age, more than 30% of women will complain of or experience a heavy amount of bleeding, which leads to a debilitating health outcome, including significantly reduced health-related quality of life, and a considerable economic burden on the health care system. Although surgical treatment might be the most important definite treatment, especially hysterectomy for those women who have finished bearing children, the uterus is still regarded as the regulator and controller of important physiological functions, a sexual organ, a source of energy and vitality, and a maintainer of youth and attractiveness. This has resulted in a modern trend in which women may reconsider the possibility of organ preservation. For women who wish to retain the uterus, medical treatment may be one of the best alternatives. In this review, recent trends in the management of women with heavy menstrual bleeding are discussed.

Original languageEnglish
Pages (from-to)483-488
Number of pages6
JournalTaiwanese Journal of Obstetrics and Gynecology
Issue number5
Publication statusPublished - Jan 1 2015


  • Antifibrinolytics
  • Heavy menstrual bleeding
  • HMB
  • Levonorgestrel-releasing intrauterine system
  • Medical treatment

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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