Would you consider anti-fibrinolytics for heavy menses in patients with a history of VTE?

Ob/gyn is in process of adjusting therapies to manage heavy menses--OCPs, progesterone IUDs, but still having significant bleeding in the meantime.

Single VTE >3 months prior. Would your thoughts change if they had an acute or recurrent VTE?

Answer from: at Academic Institution

A recent review article provided reassuring evidence about the combined use of antifibrinolytics and estrogen in women with heavy menstrual bleeding (Meschino et al., PMID 40680937); however, it did not specifically provide data in women with a prior history of VTE. In this case, I would first ensur...

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While ">3 months" is a little imprecise for the...

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Would you consider anti-fibrinolytics for heavy menses in patients with a history of VTE?

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