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Abnormal Uterine Bleeding

Rick Pescatore, DO and Jessica Pescatore, DO
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14:45
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Rick is joined by his wife Jessica Pescatore, an OB/GYN, to review the diagnosis of abnormal uterine bleeding in the urgent care. The temporization of massive vaginal bleeding as well as the outpatient treatment of AUB are discussed.

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Angelina M. -

If a pt already is using a hormonal birth control (IUD/OCP) is it okay to give medroxyprogesterone for the seven days in addition to this or is this option only for patients not already on any form of hormone therapy? Also, if a patient is on an OCP, are there any evidence based recommendations to have them double up on the dose for a certain amount of days? Thanks!

Mike W., MD -

From Rick Pescatore: Thanks for the comment! It's totally OK to "Add on" the medroxyprogresterone for a week. I am unsure as to evidence supporting "doubling" OCPs, however this is a common and accepted practice.

Sam S. -

Any other suggested hormonal medication or regimen to use besides the high dose medroxyprogesterone acetate? It is off label and have run into insurance not wanting to cover it.

Mike W., MD -

From Rick Pescatore:
Norethindrone Acetate 2.5-10mg qd for 5-10days. $10 via GoodRx.

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Hacking Up A Lung Full episode audio for MD edition 176:04 min - 83 MB - M4AHippo Urgent Care RAP - April 2018 Written Summary 365 KB - PDF

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