علاج مرض فون ويلبراند مع النزيف الحيضي الغزير في النساء غير الراغبات في الحمل

References

DOI: 10.1182/bloodadvances.2020003264.

1. The panel suggests using either hormonal therapy (CHC or levonorgestrel-releasing intrauterine system) or tranexamic acid over desmopressin to treat women with VWD with heavy menstrual bleeding who do not wish to conceive (conditional recommendation based on very low certainty in the evidence of effects).
2. This recommendation does not imply that the interventions considered can be prescribed only as monotherapy. In some cases, multiple options can be combined, especially if control of heavy menstrual bleeding is less than optimal with the initial therapy.