The latest effective health care bulletin concerns the management of menorrhagia. Women's perception of blood loss varies, and re-assurance may be a treatment option. Menorrhagia may be treated with drugs in a primary care setting. Concerns have been expressed about increased risk of thromboembolitic clots associated with tranexamic acid, but the Bulletin suggests these have now been discounted. However, no strong evidence is available to support it.
Effectiveness varies according to the outcome measure used.
Both operations are associated with high patient satisfaction. The latest Effectiveness Bulletin maintains the high standards of reviewing and reporting that readers of the series enjoy. From October 1995 the series will be published in association with Churchill Livingstone. Eight bulletins are planned between October 1995 and December 1996. Topics will include pressure sore management, benign prostatic hyperplasia, total hip replacement, cataracts, and back pain.