A detailed menstrual history, obstetrical history, gynecological history and medication are important for diagnosis. A full physical exam is important. For reproductive women a physical should include a pelvic exam. Oral contraceptives are most effective for adolescents and women under 35. Estrogen Is effective for women experiencing anovulatory or menorrhagia bleeding.
Medication is taken from the first day of menstruation until the last day on a regulated cycle.
Are low cost, have few side effects and are taken only during menstruation. Progestational Agents Progesterone can be utilized when there is heavy bleeding on a regular basis. Medicine should be administered until there has been no bleeding for 3-4 weeks, after which it should be stopped, some withdrawal bleeding will occur. Birth control should still be used with the progesterone treatment. Some side affects are weight gain, bloating, mood swings, headaches, acne, nausea.