COMMENT & CONTROVERSY

Outpatient care is possible for acute uterine bleeding

“Which is better at stopping acute uterine bleeding—oral MPA or combination OCs?” by Alan H. DeCherney, MD, and Belinda Yauger, MD

Dr. DeCherney and Dr. Yauger reviewed a study by Munro and colleagues that addresses one of the more common problems I see in my general gynecology practice: how to manage acute uterine bleeding. In residency, we commonly treated this condition with Norlestrin (norethindrone acetate 2.5 mg, with ethinyl estradiol 50 mg) 2 or 3 times daily as an outpatient alternative to intravenous estrogen, but noncompliance was high due to nausea. It did lead to rapid cessation of symptoms, however.