When should treatment be combined in women with menorrhagia?
• Treatment can be combined when first starting pharmaceutical therapy, or an additional drug can be added to the initial treatment if improvement in symptoms is not satisfactory: • Tranexamic can be combined with a nonsteroidal anti-inflammatory drug (NSAID) if menstrual bleeding and dysmenorrhoea are problematic. • An NSAID may be used with a combined oral contraceptive (COC), especially if dysmenorrhoea is problematic.