Obstetrics and Gynaecology  |  Menorrhagia Pathway - Management of Acute Bleeding

Obstetrics and Gynaecology

Menorrhagia Pathway - Management of Acute Bleeding

Note acute bleeding/flooding outside of the menorrhagia definition could be a sign of a more serious pathology and should be referred to Gynae OPD.

Suggested options for medical management prior to clinic appointment include:



Link to NZ Formulary page

Norethisterone (Primolut)

5mg tds for 10 days

Norethisterone (Primolut)

Medroxyprogesterone acetate (Provera)

Generally has more side effects

10mg od for 14 days

Medroxyprogesterone acetate (Provera)

Tranexamic acid

Note: can be used in addition to a progesterone

maximum dose 1gm qds for 4 days

Tranexamic Acid


Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

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