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Menorrhagia (heavy menstrual bleeding) - Management
How can I rapidly stop heavy bleeding, if necessary?
- Consider stopping heavy menstrual bleeding by prescribing oral norethisterone.
- Oral norethisterone, 5 mg three times daily, usually stops bleeding in 24–48 hours.
- If bleeding is exceptionally heavy ('flooding'), 10 mg three times daily may provide better results (get informed consent). This should then be tapered down to 5 mg three times daily for about a week once bleeding has stopped.
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