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Abnormal menstrual bleeding is the term currently used for changes in menstruation resulting from increased volume, duration, or frequency. Abnormal uterine bleeding (AUB) negatively affects physical, emotional, sexual and professional aspects of the life of women, worsening their quality of life.1 AUB was reported to occur in 9-14% women between menarche and menopause. The prevalence varies in each country. In India, the reported prevalence of AUB was around 17.9 %.2 The prevalence was increasing with age and peaking just before menopause. AUB is one of the most common reason for referral to a gynaecologist. It has been found that once women were referred to a gynaecologist, 60% of women with menorrhagia will have a hysterectomy within 5 years, accounting for up to 75% of all hysterectomies performed worldwide. About half of all women who proceed with hysterectomy for their heavy bleeding have a normal uterus removed. The degree of blood loss can cause significant discomfort, social embarrassment and inconvenience as well as medical risks such as chronic iron deficiency anaemia. So, such women wish to undergo medical/surgical treatment to eliminate or decrease the problem. The main objective of treatment is to achieve symptomatic relief, improve women’s quality of life and anaemia.3

Evaluation of the Efficacy of Tranexamic Acid in the Management of Menorrhagia