By rray, 5 January, 2015 If med mgmt failed/contraindicated or if severe bleed: treat surgically, factoring pt’s desire for future fertility.
By rray, 5 January, 2015 If s/sx of bleeding disorder,<sup>19</sup> consult hematology; factor replacement may be required for severe hemorrhage. If vWD w/ hx of response to desmopressin,<sup>20</sup> give IN, IV, SQ.
By rray, 5 January, 2015 Nonhormonal option: tranexamic acid 1.3 g PO or 10 mg/kg IV (max 600 mg) TID x 5 days<sup>18</sup>