Practice points in gynecardiology: Abnormal uterine bleeding in premenopausal women taking oral anticoagulant or antiplatelet therapy

Angela H E M Maas, Mia von Euler, Marlies Y Bongers, Herbert J A Rolden, Janneke P C Grutters, Lian Ulrich, Karin Schenck-Gustafsson

    22 Citationer (Scopus)

    Abstract

    A growing number of premenopausal women are currently using antithrombotic and/or (dual) antiplatelet therapy for various cardiovascular indications. These may induce or exacerbate abnormal uterine bleeding and more awareness and knowledge among prescribers is required. Heavy and irregular menstrual bleeding is common in women in their forties and may have a variety of underlying causes that require different treatment options. Thus using anticoagulants in premenopausal women demands specific expertise and close collaboration between cardiovascular physicians and gynecologists. In this article we summarize the scope of the problem and provide practical recommendations for the care for young women taking anticoagulants and/or (dual) antiplatelet therapy. We also recommend that more safety data on uterine bleeding with novel anticoagulants in premenopausal women should be obtained.

    OriginalsprogEngelsk
    TidsskriftMaturitas
    Vol/bind82
    Udgave nummer4
    Sider (fra-til)355-9
    Antal sider5
    ISSN0378-5122
    DOI
    StatusUdgivet - dec. 2015

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