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When should treatment be combined in women with menorrhagia?

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When should treatment be combined in women with menorrhagia?

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• 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.

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