Heavy menstrual bleeds while on anticoagulants can be managed conservatively

Heavy menstrual bleeding in women on anticoagulants such as rivaroxaban or apixaban can usually be managed conservatively, however anatomical abnormalities should be considered in women with heavy bleeding that persists across menstrual cycles. A German study of 178 women under 50 years of age treated with direct oral factor Xa inhibitors mostly for VTE, found about ...

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