Therapeutic target
The primary goal is to clarify the prolonged and increased bleeding, and to treat the underlying condition.
Normalization of the duration and strength of menstrual bleeding.
Therapy recommendations
- During sexual maturity, if necessary, by administration of hormones (ovulation inhibitors: birth control pills), change in hormone therapy, removal of intrauterine device (“IUD”) if necessary, preoperative (“before surgery”) therapyof fibroids (benign growths in the muscular layer of the uterus; see hypermenorrhea/excessive menstrual bleeding).
- Perimenopause (transitional phase between premenopause and postmenopause; different lengths of years before menopause/time of the last spontaneous menstruation in the life of a woman – about five years – and after menopause, 1 year) if necessary by hormone administration (estrogen + progestin/monophasic or sequential; transdermal (“through the skin“) estrogen-progestin combinations for sequential application or for use without bleeding), change of hormone therapy, discontinuation of hormone therapy.