Therapeutic Options for Unscheduled Bleeding Associated with Long-Acting Reversible Contraception
Friedlander, E.; Kaneshiro, B.
Obstetrics and Gynecology Clinics of North America 42(4): 593-603
2015
ISSN/ISBN: 1558-0474 PMID: 26598302 DOI: 10.1016/j.ogc.2015.07.004Document Number: 640987
Long-acting reversible contraception (LARC) is the most effective form of reversible contraception. Although most women are satisfied with LARC methods, unscheduled bleeding and spotting are common reasons for method dissatisfaction and discontinuation. This systematic analysis of the current literature delineates treatment options for unscheduled bleeding related to LARC use. Although consistent results are lacking, all devices seem to have the best response to nonsteroidal antiinflammatory drugs for 5 to 7 days or the antifibrinolytic agent tranexamic acid. Additional studies are necessary to identify improved treatment interventions for unscheduled bleeding with LARC use.
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