Case Study
Case presentation
A 40-year-old female patient with complaint of heavy menstrual bleeding.
Medical history
- No history of renal or hepatic impairment.
- No coagulation or fibrinolytic disorder.
- No previous history of thromboembolism, peptic ulceration and inflammatory bowel disease.
Diagnostic Tests:
Following diagnostic tests were conducted
- Transvaginal ultrasound (TVS).
- Paps smear.
- Complete blood count (CBC).
Out-comes of diagnostic test
- TVS and Paps smear was found to be normal.
- Complete blood count elicited hemoglobin level of 9 g/dl.
Treatment:
Combination of 500 mg Tranexamic acid and 250 mg Mefenamic acid was administered 2 tablets administered immediately followed by 1 tablet every 8 hrs. for 5 days beginning from day 1 of menstrual cycle.
Follow up after 3 months:
- The menstrual blood loss on an average was reduced.
- Bleeding was scanty in last two days and lasted for 2-3 days.
- 1.5-2 gm% rise in the hemoglobin levels was seen.
- 55-60% decrease in the use of sanitary napkins was observed.
Conclusion:
Mean menstrual blood loss was reduced after initiation of treatment with combination of Tranexamic acid and Mefenamic acid which also helped in reducing dysmenorrhea.
References:
Pandey P., Pandey S. Comparison of Tranexamic acid with a combination of Tranexamic acid and Mefenamic acid in treating menorrhagia, International journal of scientific research 7 (6) June 2018.
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