High-dose medroxyprogesterone acetate for the treatment of dysfunctional uterine bleeding in 24 adolescents
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High-dose medroxyprogesterone acetate effectively stopped or reduced severe dysfunctional uterine bleeding in 24 hospitalized adolescents without underlying hematological disorders.
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Abstract
The objective of the study was to evaluate the effectiveness of high-dose oral medroxyprogesterone acetate therapy in the management of excessive dysfunctional uterine bleeding in adolescents. The study group consisted of 24 adolescents who were hospitalized with the diagnosis of excessive uterine bleeding and anaemia. Oral medroxyprogesterone acetate tablets were administered at a total dose of 60-120 mg during the first day of admission and 20 mg per day for the following 10 days. The blood loss was reduced to acceptable levels in all patients, and actually stopped in 6 (25%) within the first 24 hours of the treatment; bleeding ceased in 29.2%, 20.8% and 25% on the second, third and fourth days respectively. Significant correlation was identified between the initial haemoglobin concentration and the time required for cessation of bleeding (r2 = 0.5, p = 0.001). Rapid saturation of the endometrium with progestogens seems to be an highly effective mode of treatment for excessive dysfunctional uterine bleeding in adolescents.
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Cited by (6)
- Approaches for prevention and management of menstrual bleeding in adolescent patients undergoing cancer treatment 2024
- Medical management of heavy menstrual bleeding: a comprehensive review of the literature 2015
- Retrospective review of norethindrone use in adolescents 2013
- Dysfunctional uterine bleeding: from adolescence to menopause 2010
- [Management of menometrorrhagia in women with and without pregnancy intention: hierarchy of therapies] 2008
- Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey 2000
Source provenance
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T22:00:22.376048+00:00
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