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[quote]1. [b]Menstruation[/b]

[i]Menarche[/i]- Age at which menses starts. Approx at the beginning of teenage years. Initially in some can present with pain, heavy or irregular bleeding. If problematic then treatment with combined oestrogen/progestrogen pill is usually sufficent. In very rare instances if the treatment fails then consider investigation for rare bleeding disorders, although vast majority of cases can be dealt with without any investigations.

[i]Heavy periods(Menorrhagia[/i])- Treatment often depends on the severity and personal circumstances including age. 
Start with Mefenemic acid with or without Antifibrinolytic agent If unsuccessful the consider hormonal treatment: If <35yrs, no health problems with normal weight- usually combined oestrogen/proerogen pill, otherwise progestrogens in various forms including oral, depot injections and hormonal intrauterine device (known as coil).
If all above fail & child bearing complete then consider surgical options:- From simple day case procedures such as endometrial ablation to more readical such as hysterectomy.
This is very brief summary that I could quickly recall. The treatment options vary for each individual and will try to deal with any specific queries.
Next topic PAINFUL PERIODS-Will write a summary when possible, however contributions from others will be appreciated (I know of at least on well known moderator who might be able to respond)
Salaam[/quote]

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