Anticoagulant-associated heavy menstrual bleeding (HMB) is an under-recognised but not uncommon problem in clinical practice. Premenopausal women should be advised of the potential effect of anticoagulant therapy on menstrual bleeding at the time of treatment initiation, and consequences of HMB should be assessed and treated on an ongoing basis. This paper covers treating heavy menstrual bleeding associated with anticoagulants.
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